Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $812.83 / $3,162.28	Facility		$316.23	$812.83	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,548.82	Professional		$323.59	$602.56	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,819.70	Professional		$501.19	$776.25	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $4,365.16	Facility		$2,344.23	$2,754.23	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,548.82 / $3,981.07	Professional		$630.96	$1,548.82	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $724.44 / $3,162.28	Facility		$316.23	$724.44	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $2,290.87	Professional		$724.44	$1,230.27	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $794.33 / $7,244.36	Facility		$331.13	$794.33	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,202.26 / $6,606.93	Professional		$630.96	$1,202.26	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,479.11 / $3,630.78	Professional		$831.76	$1,479.11	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $5,248.07	Facility		$1,905.46	$3,548.13	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $3,548.13 / $6,309.57	Professional		$758.58	$3,548.13	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,238.72	Professional		$1,202.26	$1,202.26	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $5,128.61	Professional		$1,548.82	$2,290.87	$5,128.61
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 $389.05 / $794.33 / $2,137.96	Professional		$389.05	$794.33	$2,137.96