Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,090.30 / $3,090.30	Facility		$389.05	$3,090.30	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $1,202.26	Professional		$331.13	$398.11	$1,202.26
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 $354.81 / $691.83 / $1,621.81	Professional		$354.81	$691.83	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,737.80	Facility		$933.25	$1,096.48	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,148.15 / $1,318.26	Professional		$512.86	$1,148.15	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,019.95 / $5,370.32	Facility		$389.05	$3,019.95	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,122.02	Professional		$645.65	$891.25	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $5,495.41 / $8,709.64	Facility		$389.05	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $645.65 / $2,691.53	Professional		$354.81	$645.65	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $1,174.90	Professional		$436.52	$851.14	$1,174.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $19,498.45 / $19,498.45	Facility		$13,182.57	$19,498.45	$19,498.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,737.80 / $2,630.27	Professional		$489.78	$1,737.80	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,737.80 / $1,737.80	Professional		$660.69	$1,737.80	$1,737.80
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 $338.84 / $562.34 / $1,548.82	Professional		$338.84	$562.34	$1,548.82