Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $17,782.79	Facility		$426.58	$426.58	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $524.81 / $707.95	Professional		$194.98	$524.81	$707.95
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 $616.60 / $1,174.90 / $2,691.53	Professional		$616.60	$1,174.90	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $3,162.28	Facility		$1,698.24	$1,995.26	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,230.27 / $1,621.81	Professional		$323.59	$1,230.27	$1,621.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,162.28 / $5,888.44	Facility		$602.56	$3,162.28	$5,888.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $5,754.40 / $8,912.51	Facility		$602.56	$5,754.40	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $3,388.44	Professional		$676.08	$1,174.90	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $602.56	Professional		$50.12	$58.88	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $446.68 / $1,288.25	Professional		$204.17	$446.68	$1,288.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $9,332.54	Facility		$6,309.57	$6,309.57	$9,332.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $724.44 / $3,890.45	Professional		$239.88	$724.44	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
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 $186.21 / $954.99 / $2,691.53	Professional		$186.21	$954.99	$2,691.53