Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,905.46 / $2,344.23	Facility		$1,023.29	$1,905.46	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,258.93	Professional		$588.84	$724.44	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,344.23	Facility		$1,819.70	$2,290.87	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $3,388.44	Professional		$338.84	$338.84	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $4,365.16	Facility		$2,344.23	$2,691.53	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,698.24 / $2,630.27	Professional		$977.24	$1,698.24	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,467.37 / $4,897.79	Facility		$933.25	$3,467.37	$4,897.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,623.41	Professional		$5,128.61	$5,128.61	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,951.21	Facility		$758.58	$1,023.29	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $4,265.80	Professional		$380.19	$512.86	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $676.08	Professional		$50.12	$64.57	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,818.38	Professional		$1,380.38	$1,995.26	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $3,981.07	Facility		$1,698.24	$3,981.07	$3,981.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $4,265.80 / $4,265.80	Professional		$407.38	$4,265.80	$4,265.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,819.70	Professional		$851.14	$851.14	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,454.71 / $4,570.88	Professional		$851.14	$2,454.71	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,023.29	Facility		$676.08	$676.08	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $1,380.38	Professional		$354.81	$512.86	$1,380.38