Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,348.96 / $3,801.89	Facility		$323.59	$1,348.96	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $891.25 / $1,905.46	Professional		$288.40	$891.25	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,288.25 / $4,365.16	Professional		$380.19	$1,288.25	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $5,248.07	Facility		$2,818.38	$3,311.31	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $977.24 / $3,801.89	Professional		$331.13	$977.24	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,071.52 / $3,162.28	Facility		$302.00	$1,071.52	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $912.01 / $3,019.95	Professional		$501.19	$912.01	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,096.48 / $2,089.30	Facility		$302.00	$1,096.48	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $3,467.37 / $7,762.47	Professional		$1,174.90	$3,467.37	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,202.26 / $3,548.13	Professional		$478.63	$1,202.26	$3,548.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $8,709.64 / $8,709.64	Facility		$660.69	$8,709.64	$8,709.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $5,495.41 / $7,244.36	Professional		$446.68	$5,495.41	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $7,244.36	Professional		$1,230.27	$2,041.74	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,137.96	Facility		$1,023.29	$1,584.89	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,174.90 / $3,981.07	Professional		$316.23	$1,174.90	$3,981.07