Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $537.03 / $3,090.30	Facility		$251.19	$537.03	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $831.76	Professional		$239.88	$371.54	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $1,445.44	Professional		$380.19	$588.84	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,041.74	Facility		$1,047.13	$1,230.27	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,000.00 / $1,778.28	Professional		$426.58	$1,000.00	$1,778.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $537.03 / $4,677.35	Facility		$288.40	$537.03	$4,677.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,071.52	Professional		$478.63	$724.44	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $537.03 / $7,762.47	Facility		$288.40	$537.03	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $870.96 / $2,884.03	Professional		$436.52	$870.96	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $1,258.93	Professional		$467.74	$794.33	$1,258.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $2,187.76 / $2,818.38	Professional		$467.74	$2,187.76	$2,818.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,288.25	Professional		$831.76	$831.76	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,511.89	Professional		$1,148.15	$1,659.59	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $562.34 / $1,584.89	Professional		$316.23	$562.34	$1,584.89