Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $758.58 / $3,090.30	Facility		$407.38	$758.58	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $912.01	Professional		$338.84	$489.78	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $17,378.01	Facility		$6,165.95	$10,232.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $2,238.72	Professional		$426.58	$831.76	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,630.27	Facility		$1,412.54	$1,659.59	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $851.14 / $2,041.74	Professional		$380.19	$851.14	$2,041.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $501.19 / $2,238.72	Facility		$338.84	$501.19	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,479.11	Professional		$676.08	$977.24	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $501.19 / $5,495.41	Facility		$338.84	$501.19	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,096.48 / $3,890.45	Professional		$446.68	$1,096.48	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,122.02 / $1,905.46	Professional		$616.60	$1,122.02	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $2,570.40	Facility		$1,445.44	$2,570.40	$2,570.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,202.26 / $3,801.89	Professional		$371.54	$1,202.26	$3,801.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,949.84	Professional		$1,318.26	$1,318.26	$1,949.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $2,691.53	Professional		$1,174.90	$1,778.28	$2,691.53
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 $346.74 / $549.54 / $1,548.82	Professional		$346.74	$549.54	$1,548.82