Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $724.44 / $1,905.46	Facility		$338.84	$724.44	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $870.96	Professional		$316.23	$380.19	$870.96
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 $354.81 / $660.69 / $1,778.28	Professional		$354.81	$660.69	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,041.74	Facility		$1,023.29	$1,202.26	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,122.02 / $1,819.70	Professional		$426.58	$1,122.02	$1,819.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $3,162.28	Facility		$338.84	$537.03	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,096.48	Professional		$630.96	$870.96	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $575.44 / $5,248.07	Facility		$346.74	$575.44	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $707.95 / $2,884.03	Professional		$354.81	$707.95	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,380.38	Professional		$616.60	$1,000.00	$1,380.38
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 $616.60 / $1,778.28 / $2,818.38	Professional		$616.60	$1,778.28	$2,818.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,230.27	Professional		$1,096.48	$1,096.48	$1,230.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,238.72 / $2,454.71	Professional		$707.95	$2,238.72	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,412.54	Professional		$331.13	$524.81	$1,412.54