Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $741.31 / $14,454.40	Facility		$457.09	$741.31	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $933.25	Professional		$338.84	$467.74	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,232.93 / $17,378.01	Facility		$4,677.35	$10,232.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $707.95 / $2,041.74	Professional		$371.54	$707.95	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,737.80	Facility		$933.25	$1,096.48	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,148.15 / $1,318.26	Professional		$630.96	$1,148.15	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $7,413.10 / $14,454.40	Facility		$426.58	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,122.02	Professional		$776.25	$954.99	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $10,232.93 / $16,595.87	Facility		$416.87	$10,232.93	$16,595.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $2,089.30	Professional		$457.09	$794.33	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,548.82	Professional		$602.56	$870.96	$1,548.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $22,387.21	Facility		$15,488.17	$15,488.17	$22,387.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,862.09 / $2,691.53	Professional		$630.96	$1,862.09	$2,691.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $2,570.40	Professional		$1,737.80	$2,511.89	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,378.01	Facility		$8,912.51	$13,803.84	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $1,698.24	Professional		$446.68	$776.25	$1,698.24