Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $1,905.46	Facility		$630.96	$870.96	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $831.76	Professional		$407.38	$501.19	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $1,995.26	Professional		$467.74	$812.83	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $2,398.83	Facility		$1,288.25	$1,479.11	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,071.52 / $1,778.28	Professional		$457.09	$1,071.52	$1,778.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $3,548.13	Facility		$457.09	$758.58	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,380.38	Professional		$831.76	$1,148.15	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $812.83 / $3,981.07	Facility		$457.09	$812.83	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,023.29 / $3,548.13	Professional		$489.78	$1,023.29	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,096.48 / $1,584.89	Professional		$575.44	$1,096.48	$1,584.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,388.44 / $3,388.44	Facility		$1,096.48	$3,388.44	$3,388.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,737.80 / $3,467.37	Professional		$446.68	$1,737.80	$3,467.37
Security Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $4,677.35	Professional		$1,819.70	$4,168.69	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $4,677.35	Facility		$2,041.74	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $1,905.46	Professional		$416.87	$758.58	$1,905.46