Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $645.65 / $3,090.30	Facility		$302.00	$645.65	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $933.25	Professional		$281.84	$426.58	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,513.56	Professional		$416.87	$630.96	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,238.72	Facility		$1,202.26	$1,412.54	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,122.02 / $2,137.96	Professional		$478.63	$1,122.02	$2,137.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $588.84 / $3,162.28	Facility		$338.84	$588.84	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,230.27	Professional		$575.44	$831.76	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $616.60 / $7,244.36	Facility		$338.84	$616.60	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $891.25 / $3,388.44	Professional		$446.68	$891.25	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $1,479.11	Professional		$562.34	$954.99	$1,479.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $1,949.84	Facility		$1,122.02	$1,949.84	$1,949.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $2,238.72 / $3,235.94	Professional		$549.54	$2,238.72	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,995.26 / $2,884.03	Professional		$870.96	$1,995.26	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,413.10 / $9,120.11	Facility		$4,786.30	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $1,621.81	Professional		$354.81	$602.56	$1,621.81