Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $851.14 / $14,454.40	Facility		$457.09	$851.14	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $812.83	Professional		$363.08	$457.09	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $776.25 / $1,995.26	Professional		$389.05	$776.25	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,995.26	Facility		$1,071.52	$1,258.93	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $912.01 / $1,737.80	Professional		$426.58	$912.01	$1,737.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $537.03 / $3,467.37	Facility		$389.05	$537.03	$3,467.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,288.25	Professional		$724.44	$891.25	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $4,365.16	Facility		$398.11	$562.34	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $3,090.30	Professional		$398.11	$676.08	$3,090.30
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 $549.54 / $977.24 / $1,513.56	Professional		$549.54	$977.24	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $3,630.78	Facility		$2,454.71	$3,630.78	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,995.26 / $3,019.95	Professional		$416.87	$1,995.26	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,089.30	Professional		$1,288.25	$1,548.82	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $6,456.54	Facility		$2,884.03	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $1,548.82	Professional		$380.19	$549.54	$1,548.82