Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $831.76 / $14,454.40	Facility		$446.68	$831.76	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $831.76	Professional		$380.19	$436.52	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $18,197.01	Facility		$6,165.95	$10,232.93	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $758.58 / $1,995.26	Professional		$407.38	$758.58	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,949.84	Facility		$1,047.13	$1,202.26	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $912.01 / $1,698.24	Professional		$426.58	$912.01	$1,698.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $562.34 / $3,467.37	Facility		$380.19	$562.34	$3,467.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,380.38	Professional		$691.83	$870.96	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $575.44 / $10,964.78	Facility		$398.11	$575.44	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $3,311.31	Professional		$426.58	$741.31	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $1,318.26	Professional		$467.74	$851.14	$1,318.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $15,488.17 / $15,488.17	Facility		$10,471.29	$15,488.17	$15,488.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,995.26 / $3,311.31	Professional		$426.58	$1,995.26	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,041.74	Professional		$1,258.93	$1,621.81	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,548.82	Professional		$398.11	$588.84	$1,548.82