Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,148.15 / $2,818.38	Facility		$120.23	$1,148.15	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $281.84 / $676.08	Professional		$79.43	$281.84	$676.08
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 $144.54 / $501.19 / $1,659.59	Professional		$144.54	$501.19	$1,659.59
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 $154.88 / $295.12 / $1,380.38	Professional		$154.88	$295.12	$1,380.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $3,311.31 / $7,413.10	Facility		$104.71	$3,311.31	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $1,096.48	Professional		$194.98	$281.84	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $2,754.23 / $5,754.40	Facility		$117.49	$2,754.23	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $2,137.96	Professional		$467.74	$851.14	$2,137.96
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 $141.25 / $457.09 / $1,202.26	Professional		$141.25	$457.09	$1,202.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,548.13	Facility		$2,454.71	$2,454.71	$3,548.13
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,949.84 / $1,949.84 / $2,884.03	Facility	52	$1,949.84	$1,949.84	$2,884.03
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $489.78 / $489.78 / $724.44	Facility	53	$489.78	$489.78	$724.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $794.33 / $2,630.27	Professional		$154.88	$794.33	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $2,630.27	Professional		$426.58	$660.69	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $426.58 / $1,621.81	Professional		$112.20	$426.58	$1,621.81