Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $776.25 / $14,454.40	Facility		$562.34	$776.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $724.44	Professional		$354.81	$416.87	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,677.35 / $7,413.10	Facility		$2,630.27	$4,677.35	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $741.31 / $1,778.28	Professional		$371.54	$741.31	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,862.09	Facility		$1,000.00	$1,174.90	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,023.29 / $1,412.54	Professional		$457.09	$1,023.29	$1,412.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,412.54 / $10,471.29	Facility		$371.54	$1,412.54	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,122.02	Professional		$691.83	$933.25	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,698.24 / $7,762.47	Facility		$363.08	$1,698.24	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $776.25 / $2,818.38	Professional		$371.54	$776.25	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $758.58 / $1,174.90	Professional		$354.81	$758.58	$1,174.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,890.45 / $3,890.45	Facility		$977.24	$3,890.45	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,862.09 / $2,754.23	Professional		$389.05	$1,862.09	$2,754.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,715.35 / $3,715.35	Professional		$1,445.44	$3,715.35	$3,715.35
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 $346.74 / $630.96 / $1,621.81	Professional		$346.74	$630.96	$1,621.81