Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $741.31 / $14,454.40	Facility		$398.11	$741.31	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $741.31	Professional		$331.13	$398.11	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $1,737.80	Professional		$346.74	$676.08	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,778.28	Facility		$954.99	$1,096.48	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $794.33 / $1,513.56	Professional		$363.08	$794.33	$1,513.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $467.74 / $8,709.64	Facility		$338.84	$467.74	$8,709.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,202.26	Professional		$630.96	$794.33	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $489.78 / $10,964.78	Facility		$346.74	$489.78	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $2,691.53	Professional		$338.84	$588.84	$2,691.53
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 $489.78 / $870.96 / $1,348.96	Professional		$489.78	$870.96	$1,348.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $11,220.18	Facility		$7,585.78	$7,585.78	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,737.80 / $2,630.27	Professional		$363.08	$1,737.80	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,819.70	Professional		$1,122.02	$1,348.96	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $1,348.96	Professional		$331.13	$478.63	$1,348.96