Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $4,677.35 / $6,918.31	Facility		$524.81	$4,677.35	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $616.60 / $1,288.25	Professional		$251.19	$616.60	$1,288.25
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 $309.03 / $575.44 / $1,380.38	Professional		$309.03	$575.44	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,311.31	Facility		$1,778.28	$2,089.30	$3,311.31
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	22	$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	52	$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	53	$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $933.25 / $2,818.38	Professional		$338.84	$933.25	$2,818.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $645.65 / $2,884.03	Facility		$263.03	$645.65	$2,884.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,047.13 / $1,778.28	Professional		$467.74	$1,047.13	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $676.08 / $3,235.94	Facility		$269.15	$676.08	$3,235.94
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	52	$933.25	$933.25	$933.25
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	53	$229.09	$229.09	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,584.89 / $4,897.79	Professional		$676.08	$1,584.89	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $954.99 / $2,398.83	Professional		$407.38	$954.99	$2,398.83
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 Facility Modifier 53 Low / Median / High Price $489.78 / $489.78 / $724.44	Facility	53	$489.78	$489.78	$724.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,479.11 / $4,677.35	Professional		$323.59	$1,479.11	$4,677.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $3,388.44	Professional		$933.25	$1,412.54	$3,388.44
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 $281.84 / $707.95 / $1,659.59	Professional		$281.84	$707.95	$1,659.59