Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,047.13 / $14,454.40	Facility		$562.34	$1,047.13	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $1,047.13	Professional		$467.74	$549.54	$1,047.13
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 $489.78 / $954.99 / $2,454.71	Professional		$489.78	$954.99	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,454.71	Facility		$1,318.26	$1,548.82	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,071.52 / $2,137.96	Professional		$524.81	$1,071.52	$2,137.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $645.65 / $3,467.37	Facility		$436.52	$645.65	$3,467.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,659.59	Professional		$891.25	$1,096.48	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $645.65 / $5,248.07	Facility		$446.68	$645.65	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $3,801.89	Professional		$512.86	$891.25	$3,801.89
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 $575.44 / $1,047.13 / $1,621.81	Professional		$575.44	$1,047.13	$1,621.81
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 $524.81 / $2,454.71 / $3,715.35	Professional		$524.81	$2,454.71	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,570.40	Professional		$1,548.82	$1,949.84	$2,570.40
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 $478.63 / $707.95 / $1,905.46	Professional		$478.63	$707.95	$1,905.46