Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $3,090.30	Facility		$524.81	$794.33	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $870.96	Professional		$338.84	$524.81	$870.96
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 / $676.08 / $1,698.24	Professional		$446.68	$676.08	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,630.27	Facility		$1,412.54	$1,659.59	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,096.48 / $1,949.84	Professional		$457.09	$1,096.48	$1,949.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $741.31 / $3,981.07	Facility		$338.84	$741.31	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,445.44	Professional		$758.58	$977.24	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $776.25 / $8,128.31	Facility		$338.84	$776.25	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,122.02 / $3,890.45	Professional		$512.86	$1,122.02	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $1,737.80	Professional		$562.34	$1,000.00	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,754.40 / $5,754.40	Facility		$3,981.07	$5,754.40	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,621.81 / $3,715.35	Professional		$380.19	$1,621.81	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,511.89	Professional		$1,659.59	$1,659.59	$2,511.89
Security Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,388.44 / $5,128.61	Professional		$1,905.46	$3,388.44	$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 $363.08 / $707.95 / $1,905.46	Professional		$363.08	$707.95	$1,905.46