Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,698.24 / $4,466.84	Facility		$141.25	$1,698.24	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $1,258.93 / $3,090.30	Professional		$117.49	$1,258.93	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,513.56 / $5,888.44	Professional		$194.98	$1,513.56	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $2,238.72 / $8,912.51	Professional	50	$295.12	$2,238.72	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $6,456.54	Facility		$3,467.37	$4,073.80	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $758.58 / $4,677.35	Professional		$213.80	$758.58	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $3,311.31 / $7,413.10	Facility		$141.25	$3,311.31	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $3,630.78	Professional		$269.15	$398.11	$3,630.78
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $588.84 / $5,495.41	Professional	50	$407.38	$588.84	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $3,019.95 / $6,165.95	Facility		$131.83	$3,019.95	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,235.94 / $8,709.64	Professional		$1,778.28	$3,235.94	$8,709.64
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 $239.88 / $1,412.54 / $4,466.84	Professional		$239.88	$1,412.54	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,623.41	Facility		$3,801.89	$3,801.89	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $2,691.53 / $8,709.64	Professional		$213.80	$2,691.53	$8,709.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $6,760.83 / $8,912.51	Professional		$630.96	$6,760.83	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,288.25 / $6,025.60	Professional		$158.49	$1,288.25	$6,025.60