Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $630.96 / $1,905.46	Facility		$52.48	$630.96	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $234.42 / $812.83	Professional		$52.48	$234.42	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $407.38 / $1,479.11	Professional		$85.11	$407.38	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,089.30	Facility		$1,122.02	$1,318.26	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $190.55 / $1,513.56	Professional		$85.11	$190.55	$1,513.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $831.76 / $3,801.89	Facility		$61.66	$831.76	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $1,096.48	Professional		$112.20	$177.83	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $1,778.28 / $4,168.69	Facility		$61.66	$1,778.28	$4,168.69
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility	50	$3,630.78	$3,630.78	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $724.44 / $1,995.26	Professional		$371.54	$724.44	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $436.52 / $1,318.26	Professional		$89.13	$436.52	$1,318.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,778.28	Facility		$1,202.26	$1,202.26	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $724.44 / $2,818.38	Professional		$70.79	$724.44	$2,818.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $2,454.71	Professional		$229.09	$416.87	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $4,677.35	Facility		$2,238.72	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $323.59 / $1,348.96	Professional		$63.10	$323.59	$1,348.96