Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $645.65 / $1,905.46	Facility		$346.74	$645.65	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $794.33	Professional		$288.40	$446.68	$794.33
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 $380.19 / $724.44 / $1,949.84	Professional		$380.19	$724.44	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,344.23	Facility		$1,258.93	$1,479.11	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $741.31 / $1,819.70	Professional		$331.13	$741.31	$1,819.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $2,754.23	Facility		$295.12	$457.09	$2,754.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,288.25	Professional		$575.44	$851.14	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $5,495.41	Facility		$302.00	$467.74	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,000.00 / $3,467.37	Professional		$407.38	$1,000.00	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $954.99 / $1,659.59	Professional		$524.81	$954.99	$1,659.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,388.44 / $3,388.44	Facility		$1,230.27	$3,388.44	$3,388.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,047.13 / $3,388.44	Professional		$331.13	$1,047.13	$3,388.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,737.80	Professional		$1,148.15	$1,148.15	$1,737.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,344.23	Professional		$977.24	$1,548.82	$2,344.23
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 $302.00 / $489.78 / $1,348.96	Professional		$302.00	$489.78	$1,348.96