Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $758.58 / $8,317.64	Facility		$223.87	$758.58	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $549.54 / $912.01	Professional		$181.97	$549.54	$912.01
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 $309.03 / $851.14 / $2,570.40	Professional		$309.03	$851.14	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,951.21	Facility		$1,584.89	$1,862.09	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $758.58 / $2,137.96	Professional		$331.13	$758.58	$2,137.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,174.90 / $3,801.89	Facility		$204.17	$1,174.90	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,698.24	Professional		$416.87	$602.56	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,981.07 / $11,481.54	Facility		$199.53	$3,981.07	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,513.56 / $3,630.78	Professional		$741.31	$1,513.56	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $776.25	Professional		$32.36	$50.12	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $794.33 / $1,995.26	Professional		$363.08	$794.33	$1,995.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,762.47 / $7,762.47	Facility		$1,621.81	$7,762.47	$7,762.47
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,288.25 / $1,288.25 / $6,165.95	Facility	52	$1,288.25	$1,288.25	$6,165.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $3,019.95 / $5,248.07	Professional		$331.13	$3,019.95	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $4,073.80	Professional		$933.25	$1,412.54	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $776.25 / $2,511.89	Professional		$234.42	$776.25	$2,511.89