Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $30,199.52	Facility		$446.68	$691.83	$30,199.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $870.96	Professional		$323.59	$446.68	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $29,512.09	Facility		$13,803.84	$18,620.87	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $1,949.84	Professional		$346.74	$676.08	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,698.24	Facility		$912.01	$1,047.13	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,096.48 / $1,380.38	Professional		$588.84	$1,096.48	$1,380.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $7,244.36 / $13,489.63	Facility		$446.68	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,047.13	Professional		$724.44	$891.25	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $19,952.62 / $72,443.60	Facility		$398.11	$19,952.62	$72,443.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $870.96 / $3,162.28	Professional		$426.58	$870.96	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,513.56	Professional		$575.44	$831.76	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70,794.58 / $104,712.85 / $104,712.85	Facility		$70,794.58	$104,712.85	$104,712.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,137.96 / $19,498.45	Professional		$588.84	$2,137.96	$19,498.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $2,454.71	Professional		$1,778.28	$2,454.71	$2,454.71
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 $416.87 / $776.25 / $1,584.89	Professional		$416.87	$776.25	$1,584.89