Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,511.89 / $12,589.25	Facility		$1,230.27	$2,511.89	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility	50	$1,778.28	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $537.03 / $1,737.80	Professional		$288.40	$537.03	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $1,445.44	Professional		$295.12	$575.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $891.25 / $1,412.54	Facility		$758.58	$891.25	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $954.99 / $1,071.52	Professional		$446.68	$954.99	$1,071.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $3,981.07 / $7,413.10	Facility		$323.59	$3,981.07	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $912.01	Professional		$524.81	$741.31	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $5,495.41 / $8,709.64	Facility		$323.59	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $2,884.03	Professional		$309.03	$549.54	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $1,148.15	Professional		$346.74	$676.08	$1,148.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $9,332.54 / $9,332.54	Facility		$6,309.57	$9,332.54	$9,332.54
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $5,128.61 / $5,128.61 / $7,585.78	Facility	52	$5,128.61	$5,128.61	$7,585.78
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $1,258.93 / $1,258.93 / $1,862.09	Facility	53	$1,258.93	$1,258.93	$1,862.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,479.11 / $2,884.03	Professional		$407.38	$1,479.11	$2,884.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,187.76	Professional		$1,258.93	$1,737.80	$2,187.76
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 $295.12 / $489.78 / $1,288.25	Professional		$295.12	$489.78	$1,288.25