Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $707.95 / $14,454.40	Facility		$309.03	$707.95	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $954.99	Professional		$295.12	$346.74	$954.99
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 $363.08 / $676.08 / $1,819.70	Professional		$363.08	$676.08	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,737.80	Facility		$870.96	$1,023.29	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,318.26 / $1,513.56	Professional		$501.19	$1,318.26	$1,513.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $676.08 / $3,981.07	Facility		$323.59	$676.08	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,047.13	Professional		$616.60	$812.83	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $707.95 / $5,248.07	Facility		$331.13	$707.95	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $3,235.94	Professional		$371.54	$676.08	$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 $478.63 / $724.44 / $1,122.02	Professional		$478.63	$724.44	$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 Professional Modifier Low / Median / High Price $645.65 / $1,698.24 / $3,235.94	Professional		$645.65	$1,698.24	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $2,344.23	Professional		$1,174.90	$1,949.84	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $1,479.11	Professional		$363.08	$575.44	$1,479.11