Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $5,011.87 / $6,456.54	Facility		$588.84	$5,011.87	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,905.46	Professional		$426.58	$645.65	$1,905.46
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 $575.44 / $870.96 / $2,290.87	Professional		$575.44	$870.96	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $3,090.30	Facility		$1,584.89	$1,862.09	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,621.81 / $2,754.23	Professional		$691.83	$1,621.81	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $4,677.35	Facility		$446.68	$758.58	$4,677.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,659.59	Professional		$812.83	$1,174.90	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $870.96 / $7,762.47	Facility		$478.63	$870.96	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,258.93 / $4,466.84	Professional		$630.96	$1,258.93	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $1,995.26	Professional		$794.33	$1,348.96	$1,995.26
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 Facility Modifier AS Low / Median / High Price $602.56 / $602.56 / $891.25	Facility	AS	$602.56	$602.56	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $2,951.21 / $4,365.16	Professional		$794.33	$2,951.21	$4,365.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,818.38 / $3,801.89	Professional		$831.76	$2,818.38	$3,801.89
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 $512.86 / $851.14 / $2,187.76	Professional		$512.86	$851.14	$2,187.76