Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $758.58 / $6,456.54	Facility		$398.11	$758.58	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $1,071.52	Professional		$346.74	$512.86	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,000.00 / $2,570.40	Professional		$478.63	$1,000.00	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,570.40	Facility		$1,380.38	$1,621.81	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,949.84	Professional		$501.19	$851.14	$1,949.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $977.24 / $4,897.79	Facility		$398.11	$977.24	$4,897.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,548.82	Professional		$676.08	$977.24	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $912.01 / $1,737.80	Facility		$398.11	$912.01	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $3,019.95	Professional		$524.81	$870.96	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $1,905.46	Professional		$707.95	$1,202.26	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,511.89 / $2,511.89	Facility		$1,047.13	$2,511.89	$2,511.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $3,715.35	Professional		$426.58	$741.31	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,905.46	Professional		$1,288.25	$1,288.25	$1,905.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,630.27	Professional		$1,412.54	$1,905.46	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $1,862.09	Professional		$407.38	$691.83	$1,862.09