Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $724.44 / $14,454.40	Facility		$467.74	$724.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $912.01	Professional		$338.84	$467.74	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $30,902.95	Facility		$13,803.84	$18,620.87	$30,902.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $707.95 / $2,041.74	Professional		$363.08	$707.95	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,698.24	Facility		$912.01	$1,071.52	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,122.02 / $1,258.93	Professional		$616.60	$1,122.02	$1,258.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $7,413.10 / $14,454.40	Facility		$416.87	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,096.48	Professional		$758.58	$933.25	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $23,442.29 / $75,857.76	Facility		$407.38	$23,442.29	$75,857.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $2,041.74	Professional		$446.68	$758.58	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,513.56	Professional		$602.56	$870.96	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $74,131.02 / $74,131.02 / $109,647.82	Facility		$74,131.02	$74,131.02	$109,647.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,819.70 / $2,630.27	Professional		$616.60	$1,819.70	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $2,570.40	Professional		$1,698.24	$2,454.71	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $25,118.86 / $83,176.38	Facility		$14,125.38	$25,118.86	$83,176.38
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,659.59	Professional		$436.52	$741.31	$1,659.59