Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $812.83 / $14,454.40	Facility		$389.05	$812.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $977.24	Professional		$354.81	$389.05	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $15,488.17 / $26,302.68	Facility		$11,481.54	$15,488.17	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $2,089.30	Professional		$398.11	$794.33	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,905.46	Facility		$1,023.29	$1,202.26	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,621.81 / $1,819.70	Professional		$575.44	$1,621.81	$1,819.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $812.83 / $5,495.41	Facility		$389.05	$812.83	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,230.27	Professional		$707.95	$954.99	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $831.76 / $15,135.61	Facility		$389.05	$831.76	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $776.25 / $3,981.07	Professional		$426.58	$776.25	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,318.26	Professional		$575.44	$870.96	$1,318.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $29,512.09 / $29,512.09	Facility		$20,417.38	$29,512.09	$29,512.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,949.84 / $3,981.07	Professional		$724.44	$1,949.84	$3,981.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,187.76 / $2,511.89	Professional		$851.14	$2,187.76	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,621.81	Professional		$407.38	$616.60	$1,621.81