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 $389.05 / $467.74 / $851.14	Professional		$389.05	$467.74	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,943.28 / $13,489.63	Facility		$3,981.07	$7,943.28	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $776.25 / $2,089.30	Professional		$407.38	$776.25	$2,089.30
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 $457.09 / $954.99 / $1,737.80	Professional		$457.09	$954.99	$1,737.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $524.81 / $3,548.13	Facility		$380.19	$524.81	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,412.54	Professional		$724.44	$891.25	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $549.54 / $4,365.16	Facility		$389.05	$549.54	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $776.25 / $3,090.30	Professional		$426.58	$776.25	$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 $1,071.52 / $3,890.45 / $3,890.45	Facility		$1,071.52	$3,890.45	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,041.74 / $3,019.95	Professional		$457.09	$2,041.74	$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 $1,318.26 / $1,698.24 / $2,089.30	Professional		$1,318.26	$1,698.24	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $6,456.54	Facility		$2,754.23	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,584.89	Professional		$407.38	$602.56	$1,584.89