Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $977.24 / $1,905.46	Facility		$125.89	$977.24	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $407.38 / $870.96	Professional		$114.82	$407.38	$870.96
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 $162.18 / $562.34 / $1,819.70	Professional		$162.18	$562.34	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $2,511.89	Facility		$1,348.96	$1,548.82	$2,511.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	52	$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $489.78 / $1,819.70	Professional		$158.49	$489.78	$1,819.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $446.68 / $2,454.71	Facility		$117.49	$446.68	$2,454.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $537.03 / $1,288.25	Professional		$213.80	$537.03	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $478.63 / $3,548.13	Facility		$123.03	$478.63	$3,548.13
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	52	$426.58	$426.58	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,122.02 / $3,630.78	Professional		$204.17	$1,122.02	$3,630.78
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 $190.55 / $588.84 / $1,778.28	Professional		$190.55	$588.84	$1,778.28
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 Facility Modifier 52 Low / Median / High Price $1,949.84 / $1,949.84 / $2,884.03	Facility	52	$1,949.84	$1,949.84	$2,884.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,148.15 / $3,388.44	Professional		$151.36	$1,148.15	$3,388.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $2,511.89	Professional		$426.58	$616.60	$2,511.89
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 $125.89 / $380.19 / $1,479.11	Professional		$125.89	$380.19	$1,479.11