Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $724.44 / $14,454.40	Facility		$389.05	$724.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $724.44	Professional		$331.13	$389.05	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $13,182.57	Facility		$5,011.87	$7,943.28	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $660.69 / $1,737.80	Professional		$354.81	$660.69	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,698.24	Facility		$912.01	$1,071.52	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $794.33 / $1,479.11	Professional		$380.19	$794.33	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $501.19 / $3,467.37	Facility		$346.74	$501.19	$3,467.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,202.26	Professional		$602.56	$758.58	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $537.03 / $7,079.46	Facility		$346.74	$537.03	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $691.83 / $2,818.38	Professional		$371.54	$691.83	$2,818.38
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 $407.38 / $741.31 / $1,148.15	Professional		$407.38	$741.31	$1,148.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,456.54 / $6,456.54	Facility		$3,311.31	$6,456.54	$6,456.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,819.70 / $2,818.38	Professional		$371.54	$1,819.70	$2,818.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $1,778.28	Professional		$1,148.15	$1,548.82	$1,778.28
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 $346.74 / $549.54 / $1,348.96	Professional		$346.74	$549.54	$1,348.96