Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $3,090.30	Facility		$588.84	$812.83	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $794.33	Professional		$371.54	$478.63	$794.33
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 $446.68 / $758.58 / $1,819.70	Professional		$446.68	$758.58	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,238.72	Facility		$1,202.26	$1,412.54	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,000.00 / $1,659.59	Professional		$446.68	$1,000.00	$1,659.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $3,981.07	Facility		$426.58	$707.95	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,288.25	Professional		$794.33	$1,047.13	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $794.33 / $5,754.40	Facility		$426.58	$794.33	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $977.24 / $3,388.44	Professional		$457.09	$977.24	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,023.29 / $1,513.56	Professional		$524.81	$1,023.29	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,918.31 / $6,918.31	Facility		$4,677.35	$6,918.31	$6,918.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,621.81 / $3,235.94	Professional		$416.87	$1,621.81	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,137.96	Professional		$1,819.70	$1,819.70	$2,137.96
Security Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,801.89 / $4,466.84	Professional		$1,778.28	$3,801.89	$4,466.84
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 $389.05 / $691.83 / $1,819.70	Professional		$389.05	$691.83	$1,819.70