Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $14,454.40	Facility		$416.87	$794.33	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $758.58	Professional		$239.88	$389.05	$758.58
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 / $707.95 / $1,862.09	Professional		$309.03	$707.95	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,862.09	Facility		$1,000.00	$1,174.90	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $724.44 / $1,621.81	Professional		$302.00	$724.44	$1,621.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $398.11 / $3,235.94	Facility		$229.09	$398.11	$3,235.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,122.02	Professional		$676.08	$812.83	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $407.38 / $7,079.46	Facility		$223.87	$407.38	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $2,818.38	Professional		$316.23	$575.44	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $912.01 / $1,348.96	Professional		$501.19	$912.01	$1,348.96
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 $309.03 / $1,819.70 / $2,754.23	Professional		$309.03	$1,819.70	$2,754.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,905.46	Professional		$676.08	$1,096.48	$1,905.46
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 $245.47 / $407.38 / $1,258.93	Professional		$245.47	$407.38	$1,258.93