Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $724.44 / $6,456.54	Facility		$467.74	$724.44	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $794.33	Professional		$295.12	$467.74	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $7,585.78	Facility		$3,311.31	$4,897.79	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,584.89	Professional		$446.68	$602.56	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $933.25 / $2,398.83	Professional	50	$691.83	$933.25	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,398.83	Facility		$1,288.25	$1,513.56	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,023.29 / $2,238.72	Professional		$416.87	$1,023.29	$2,238.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $691.83 / $5,495.41	Facility		$346.74	$691.83	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,318.26	Professional		$676.08	$870.96	$1,318.26
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $1,023.29 / $1,288.25 / $1,949.84	Professional	50	$1,023.29	$1,288.25	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $691.83 / $8,128.31	Facility		$346.74	$691.83	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,023.29 / $3,548.13	Professional		$446.68	$1,023.29	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $912.01 / $1,659.59	Professional		$512.86	$912.01	$1,659.59
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 $354.81 / $1,412.54 / $3,715.35	Professional		$354.81	$1,412.54	$3,715.35
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 $1,412.54 / $3,019.95 / $4,677.35	Professional		$1,412.54	$3,019.95	$4,677.35
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 $316.23 / $630.96 / $1,737.80	Professional		$316.23	$630.96	$1,737.80