Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $933.25 / $14,454.40	Facility		$501.19	$933.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $891.25	Professional		$416.87	$489.78	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $2,187.76	Professional		$436.52	$851.14	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $2,238.72	Facility		$1,202.26	$1,380.38	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $954.99 / $1,905.46	Professional		$467.74	$954.99	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $562.34 / $8,128.31	Facility		$380.19	$562.34	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,479.11	Professional		$794.33	$977.24	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $575.44 / $4,786.30	Facility		$380.19	$575.44	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $3,388.44	Professional		$457.09	$812.83	$3,388.44
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 $524.81 / $933.25 / $1,445.44	Professional		$524.81	$933.25	$1,445.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,090.30 / $3,090.30	Facility		$1,174.90	$3,090.30	$3,090.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $2,187.76 / $3,311.31	Professional		$467.74	$2,187.76	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,290.87	Professional		$1,380.38	$1,778.28	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,698.24	Professional		$426.58	$630.96	$1,698.24