Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $676.08 / $14,454.40	Facility		$302.00	$676.08	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $1,047.13	Professional		$281.84	$354.81	$1,047.13
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 $323.59 / $645.65 / $1,698.24	Professional		$323.59	$645.65	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,698.24	Facility		$870.96	$1,000.00	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,318.26 / $1,479.11	Professional		$489.78	$1,318.26	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $676.08 / $3,548.13	Facility		$323.59	$676.08	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,023.29	Professional		$588.84	$794.33	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $691.83 / $8,128.31	Facility		$323.59	$691.83	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $3,235.94	Professional		$331.13	$562.34	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,122.02	Professional		$489.78	$741.31	$1,122.02
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 Facility Modifier AS Low / Median / High Price $354.81 / $354.81 / $524.81	Facility	AS	$354.81	$354.81	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,584.89 / $3,235.94	Professional		$630.96	$1,584.89	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $2,089.30	Professional		$1,071.52	$1,905.46	$2,089.30
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 $323.59 / $489.78 / $1,348.96	Professional		$323.59	$489.78	$1,348.96