Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $707.95 / $3,090.30	Facility		$380.19	$707.95	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $912.01	Professional		$331.13	$501.19	$912.01
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 $426.58 / $831.76 / $2,187.76	Professional		$426.58	$831.76	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,691.53	Facility		$1,445.44	$1,659.59	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $831.76 / $2,041.74	Professional		$389.05	$831.76	$2,041.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $2,754.23	Facility		$338.84	$537.03	$2,754.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,479.11	Professional		$630.96	$954.99	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $562.34 / $3,548.13	Facility		$354.81	$562.34	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,148.15 / $3,981.07	Professional		$478.63	$1,148.15	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,000.00 / $1,737.80	Professional		$549.54	$1,000.00	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $7,943.28	Facility		$5,370.32	$7,943.28	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,096.48 / $3,801.89	Professional		$371.54	$1,096.48	$3,801.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,995.26	Professional		$1,258.93	$1,258.93	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,691.53	Professional		$1,202.26	$1,737.80	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $1,513.56	Professional		$346.74	$562.34	$1,513.56