Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $630.96 / $14,454.40	Facility		$389.05	$630.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $1,047.13	Professional		$263.03	$389.05	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $588.84 / $1,621.81	Professional		$288.40	$588.84	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $933.25 / $1,479.11	Facility		$794.33	$933.25	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $977.24 / $1,096.48	Professional		$501.19	$977.24	$1,096.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,570.40 / $4,786.30	Facility		$354.81	$2,570.40	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $954.99	Professional		$660.69	$812.83	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $7,244.36 / $12,302.69	Facility		$354.81	$7,244.36	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $2,290.87	Professional		$346.74	$602.56	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $398.11	Professional		$32.36	$33.11	$398.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,288.25	Professional		$562.34	$812.83	$1,288.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $10,964.78 / $10,964.78	Facility		$7,585.78	$10,964.78	$10,964.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,445.44 / $2,238.72	Professional		$537.03	$1,445.44	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $2,137.96	Professional		$1,445.44	$2,137.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $13,182.57	Facility		$6,606.93	$10,232.93	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $1,318.26	Professional		$323.59	$588.84	$1,318.26