Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,584.89 / $4,897.79	Facility		$346.74	$1,584.89	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $1,071.52	Professional		$251.19	$346.74	$1,071.52
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 $257.04 / $512.86 / $1,318.26	Professional		$257.04	$512.86	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $831.76 / $1,318.26	Facility		$707.95	$831.76	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $575.44 / $1,148.15	Professional		$275.42	$575.44	$1,148.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $4,365.16	Facility		$251.19	$354.81	$4,365.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $851.14	Professional		$478.63	$588.84	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $371.54 / $7,943.28	Facility		$257.04	$371.54	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $2,041.74	Professional		$263.03	$467.74	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $891.25	Professional		$316.23	$575.44	$891.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,258.93 / $1,995.26	Professional		$275.42	$1,258.93	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,380.38	Professional		$831.76	$1,000.00	$1,380.38
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 $251.19 / $363.08 / $977.24	Professional		$251.19	$363.08	$977.24