Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $758.58 / $14,454.40	Facility		$467.74	$758.58	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $954.99	Professional		$363.08	$467.74	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,182.57	Facility		$5,011.87	$8,128.31	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $724.44 / $2,089.30	Professional		$380.19	$724.44	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,778.28	Facility		$933.25	$1,096.48	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,174.90 / $1,479.11	Professional		$630.96	$1,174.90	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $7,244.36 / $14,454.40	Facility		$436.52	$7,244.36	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,148.15	Professional		$794.33	$977.24	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,818.38 / $9,549.93	Facility		$436.52	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $3,467.37	Professional		$467.74	$851.14	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,348.96	Professional		$602.56	$933.25	$1,348.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,454.71 / $2,454.71	Facility		$954.99	$2,454.71	$2,454.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,905.46 / $13,182.57	Professional		$645.65	$1,905.46	$13,182.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $2,630.27	Professional		$1,778.28	$2,570.40	$2,630.27
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 $457.09 / $812.83 / $1,737.80	Professional		$457.09	$812.83	$1,737.80