Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,047.13 / $3,311.31	Facility		$426.58	$1,047.13	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $851.14 / $1,698.24	Professional		$363.08	$851.14	$1,698.24
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 $524.81 / $1,288.25 / $4,466.84	Professional		$524.81	$1,288.25	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $4,677.35	Facility		$2,511.89	$2,884.03	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,412.54 / $3,801.89	Professional		$436.52	$1,412.54	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $912.01 / $3,467.37	Facility		$380.19	$912.01	$3,467.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,380.38 / $2,454.71	Professional		$691.83	$1,380.38	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $933.25 / $6,025.60	Facility		$389.05	$933.25	$6,025.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $4,168.69 / $15,488.17	Professional		$1,023.29	$4,168.69	$15,488.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,318.26 / $3,019.95	Professional		$645.65	$1,318.26	$3,019.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $9,332.54	Facility		$2,818.38	$2,818.38	$9,332.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,479.11 / $15,488.17	Professional		$398.11	$1,479.11	$15,488.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $3,548.13	Professional		$1,412.54	$1,412.54	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,090.30 / $4,677.35	Professional		$1,348.96	$3,090.30	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,071.52 / $4,265.80	Professional		$398.11	$1,071.52	$4,265.80