Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $741.31 / $1,995.26	Facility		$398.11	$741.31	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $933.25	Professional		$338.84	$512.86	$933.25
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 $446.68 / $851.14 / $2,238.72	Professional		$446.68	$851.14	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $2,754.23	Facility		$1,479.11	$1,698.24	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $831.76 / $2,041.74	Professional		$398.11	$831.76	$2,041.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $549.54 / $2,238.72	Facility		$354.81	$549.54	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,513.56	Professional		$660.69	$977.24	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $575.44 / $3,548.13	Facility		$371.54	$575.44	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,174.90 / $4,073.80	Professional		$501.19	$1,174.90	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,047.13 / $1,778.28	Professional		$575.44	$1,047.13	$1,778.28
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 $380.19 / $1,122.02 / $3,890.45	Professional		$380.19	$1,122.02	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,041.74	Professional		$1,288.25	$1,288.25	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $2,754.23	Professional		$1,230.27	$1,819.70	$2,754.23
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 $363.08 / $575.44 / $1,548.82	Professional		$363.08	$575.44	$1,548.82