Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $1,659.59 / $2,570.40	Facility		$0.87	$1,659.59	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $724.44 / $1,949.84	Professional		$194.98	$724.44	$1,949.84
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 $269.15 / $1,000.00 / $3,388.44	Professional		$269.15	$1,000.00	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,570.40 / $4,168.69	Facility		$2,238.72	$2,570.40	$4,168.69
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	52	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	53	$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $831.76 / $3,090.30	Professional		$251.19	$831.76	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $812.83 / $3,090.30	Facility		$199.53	$812.83	$3,090.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $831.76 / $2,238.72	Professional		$363.08	$831.76	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $831.76 / $3,801.89	Facility		$204.17	$831.76	$3,801.89
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	52	$724.44	$724.44	$724.44
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	53	$181.97	$181.97	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,995.26 / $6,025.60	Professional		$977.24	$1,995.26	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $933.25 / $2,630.27	Professional		$323.59	$933.25	$2,630.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $4,897.79	Facility		$3,311.31	$3,311.31	$4,897.79
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $2,630.27 / $2,630.27 / $3,890.45	Facility	52	$2,630.27	$2,630.27	$3,890.45
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $660.69 / $660.69 / $977.24	Facility	53	$660.69	$660.69	$977.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,479.11 / $6,165.95	Professional		$239.88	$1,479.11	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $2,884.03 / $4,265.80	Professional		$758.58	$2,884.03	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $870.96 / $2,398.83	Professional		$223.87	$870.96	$2,398.83