Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $812.83 / $14,454.40	Facility		$398.11	$812.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $1,000.00	Professional		$363.08	$407.38	$1,000.00
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 $389.05 / $758.58 / $1,905.46	Professional		$389.05	$758.58	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,905.46	Facility		$1,023.29	$1,202.26	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,258.93 / $1,412.54	Professional		$562.34	$1,258.93	$1,412.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $3,019.95 / $5,370.32	Facility		$398.11	$3,019.95	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,230.27	Professional		$707.95	$977.24	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $5,495.41 / $8,709.64	Facility		$398.11	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $4,677.35	Professional		$398.11	$758.58	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $912.01 / $1,548.82	Professional		$467.74	$912.01	$1,548.82
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 Professional Modifier Low / Median / High Price $537.03 / $1,905.46 / $4,897.79	Professional		$537.03	$1,905.46	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $2,884.03	Professional		$1,819.70	$2,344.23	$2,884.03
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 $380.19 / $645.65 / $1,659.59	Professional		$380.19	$645.65	$1,659.59