Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $562.34 / $14,454.40	Facility		$275.42	$562.34	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $562.34	Professional		$257.04	$281.84	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $17,378.01	Facility		$6,165.95	$10,232.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $524.81 / $1,318.26	Professional		$275.42	$524.81	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $812.83 / $1,318.26	Facility		$707.95	$812.83	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $870.96 / $1,000.00	Professional		$407.38	$870.96	$1,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $3,019.95 / $5,370.32	Facility		$302.00	$3,019.95	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $851.14	Professional		$489.78	$676.08	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $5,495.41 / $8,709.64	Facility		$302.00	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $2,041.74	Professional		$281.84	$501.19	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $616.60 / $1,047.13	Professional		$316.23	$616.60	$1,047.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $14,454.40 / $14,454.40	Facility		$9,772.37	$14,454.40	$14,454.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,348.96 / $1,995.26	Professional		$371.54	$1,348.96	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,041.74	Professional		$1,288.25	$1,621.81	$2,041.74
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 $269.15 / $457.09 / $1,174.90	Professional		$269.15	$457.09	$1,174.90