Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,905.46 / $2,884.03	Facility		$177.83	$1,905.46	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $524.81 / $1,659.59	Professional		$144.54	$524.81	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $776.25 / $2,344.23	Professional		$239.88	$776.25	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,311.31	Facility		$1,778.28	$2,089.30	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $645.65 / $2,344.23	Professional		$269.15	$645.65	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,348.96 / $3,801.89	Facility		$177.83	$1,348.96	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $1,778.28	Professional		$316.23	$501.19	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,949.84 / $4,168.69	Facility		$177.83	$1,949.84	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,380.38 / $3,467.37	Professional		$630.96	$1,380.38	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $467.74	Professional		$32.36	$33.11	$467.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $724.44 / $2,137.96	Professional		$251.19	$724.44	$2,137.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,548.13	Facility		$2,454.71	$2,454.71	$3,548.13
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,949.84 / $1,949.84 / $2,884.03	Facility	52	$1,949.84	$1,949.84	$2,884.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $1,230.27 / $4,570.88	Professional		$257.04	$1,230.27	$4,570.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,148.15 / $3,981.07	Professional		$645.65	$1,148.15	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $5,011.87	Facility		$2,344.23	$2,884.03	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $645.65 / $2,344.23	Professional		$181.97	$645.65	$2,344.23