Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $416.87 / $1,905.46	Facility		$177.83	$416.87	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $446.68	Professional		$112.20	$239.88	$446.68
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 $173.78 / $269.15 / $630.96	Professional		$173.78	$269.15	$630.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $407.38 / $933.25	Professional	50	$288.40	$407.38	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $870.96 / $1,380.38	Facility		$741.31	$870.96	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $512.86 / $1,288.25	Professional		$190.55	$512.86	$1,288.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $346.74 / $3,548.13	Facility		$112.20	$346.74	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $724.44	Professional		$251.19	$380.19	$724.44
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $380.19 / $562.34 / $1,071.52	Professional	50	$380.19	$562.34	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $380.19 / $1,778.28	Facility		$112.20	$380.19	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $588.84 / $2,398.83	Professional		$263.03	$588.84	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $831.76	Professional		$186.21	$363.08	$831.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,584.89 / $1,584.89	Facility		$616.60	$1,584.89	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $676.08 / $2,454.71	Professional		$190.55	$676.08	$2,454.71
Security Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,148.15 / $2,630.27	Professional		$524.81	$1,148.15	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $316.23 / $954.99	Professional		$125.89	$316.23	$954.99