Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $870.96 / $14,454.40	Facility		$457.09	$870.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $851.14	Professional		$389.05	$457.09	$851.14
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 $407.38 / $794.33 / $2,041.74	Professional		$407.38	$794.33	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,041.74	Facility		$1,096.48	$1,288.25	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $933.25 / $1,778.28	Professional		$426.58	$933.25	$1,778.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $537.03 / $4,365.16	Facility		$389.05	$537.03	$4,365.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,380.38	Professional		$741.31	$912.01	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $575.44 / $7,244.36	Facility		$398.11	$575.44	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $3,090.30	Professional		$407.38	$724.44	$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 $537.03 / $977.24 / $1,513.56	Professional		$537.03	$977.24	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $7,943.28	Facility		$5,370.32	$7,943.28	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $2,041.74 / $3,090.30	Professional		$426.58	$2,041.74	$3,090.30
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 $1,202.26 / $1,584.89 / $2,089.30	Professional		$1,202.26	$1,584.89	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,584.89	Professional		$389.05	$562.34	$1,584.89