Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $831.76 / $14,454.40	Facility		$478.63	$831.76	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $1,047.13	Professional		$331.13	$446.68	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $7,585.78	Facility		$3,311.31	$4,897.79	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $776.25 / $1,621.81	Professional		$389.05	$776.25	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,949.84	Facility		$1,047.13	$1,230.27	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,230.27 / $1,380.38	Professional		$630.96	$1,230.27	$1,380.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $6,918.31 / $13,489.63	Facility		$478.63	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,230.27	Professional		$724.44	$1,000.00	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,691.53 / $7,943.28	Facility		$467.74	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $3,090.30	Professional		$416.87	$707.95	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $977.24 / $1,318.26	Professional		$501.19	$977.24	$1,318.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,630.27 / $2,630.27	Facility		$1,047.13	$2,630.27	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,949.84 / $2,951.21	Professional		$575.44	$1,949.84	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,548.82	Professional		$794.33	$1,258.93	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $1,659.59	Professional		$389.05	$645.65	$1,659.59