Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $812.83 / $14,454.40	Facility		$501.19	$812.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $812.83	Professional		$371.54	$478.63	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $30,199.52	Facility		$12,882.50	$18,197.01	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $2,398.83	Professional		$398.11	$776.25	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,905.46	Facility		$1,023.29	$1,202.26	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $1,445.44	Professional		$691.83	$1,258.93	$1,445.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $7,762.47 / $14,454.40	Facility		$467.74	$7,762.47	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,174.90	Professional		$851.14	$1,047.13	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,388.44 / $9,549.93	Facility		$457.09	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $2,290.87	Professional		$501.19	$831.76	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $1,288.25	Professional		$588.84	$933.25	$1,288.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,630.27	Facility		$1,023.29	$1,023.29	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,621.81 / $2,951.21	Professional		$691.83	$1,621.81	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $2,951.21	Professional		$2,187.76	$2,754.23	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,862.09	Professional		$489.78	$831.76	$1,862.09