Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $851.14 / $14,454.40	Facility		$416.87	$851.14	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $1,023.29	Professional		$380.19	$426.58	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $1,949.84	Professional		$398.11	$776.25	$1,949.84
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 $588.84 / $1,318.26 / $1,479.11	Professional		$588.84	$1,318.26	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $6,918.31 / $13,489.63	Facility		$457.09	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,288.25	Professional		$741.31	$1,023.29	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,235.94 / $6,309.57	Facility		$457.09	$3,235.94	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $6,165.95	Professional		$407.38	$724.44	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $954.99 / $1,621.81	Professional		$489.78	$954.99	$1,621.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,760.83 / $6,760.83	Facility		$4,570.88	$6,760.83	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,995.26 / $6,165.95	Professional		$562.34	$1,995.26	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $3,019.95	Professional		$1,905.46	$2,454.71	$3,019.95
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 $398.11 / $660.69 / $1,737.80	Professional		$398.11	$660.69	$1,737.80