Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $616.60 / $3,090.30	Facility		$288.40	$616.60	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $912.01	Professional		$269.15	$416.87	$912.01
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 $407.38 / $676.08 / $1,548.82	Professional		$407.38	$676.08	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $2,238.72	Facility		$1,202.26	$1,380.38	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,148.15 / $2,089.30	Professional		$478.63	$1,148.15	$2,089.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $562.34 / $3,548.13	Facility		$309.03	$562.34	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,230.27	Professional		$549.54	$812.83	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $588.84 / $7,762.47	Facility		$331.13	$588.84	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $891.25 / $3,311.31	Professional		$446.68	$891.25	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $1,445.44	Professional		$537.03	$912.01	$1,445.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,912.51 / $8,912.51	Facility		$6,025.60	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $2,187.76 / $3,162.28	Professional		$537.03	$2,187.76	$3,162.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $2,884.03	Professional		$1,230.27	$1,905.46	$2,884.03
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 $338.84 / $588.84 / $1,621.81	Professional		$338.84	$588.84	$1,621.81