Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $933.25 / $14,454.40	Facility		$489.78	$933.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $1,148.15	Professional		$416.87	$501.19	$1,148.15
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 $446.68 / $870.96 / $2,041.74	Professional		$446.68	$870.96	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,187.76	Facility		$1,174.90	$1,380.38	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,445.44 / $1,659.59	Professional		$645.65	$1,445.44	$1,659.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,454.71 / $4,786.30	Facility		$501.19	$2,454.71	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,412.54	Professional		$812.83	$1,122.02	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $5,495.41 / $8,709.64	Facility		$501.19	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $3,388.44	Professional		$457.09	$831.76	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,047.13 / $1,445.44	Professional		$537.03	$1,047.13	$1,445.44
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 $616.60 / $2,187.76 / $3,311.31	Professional		$616.60	$2,187.76	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $2,187.76	Professional		$1,258.93	$2,187.76	$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 $436.52 / $741.31 / $1,949.84	Professional		$436.52	$741.31	$1,949.84