Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $169.82 / $1,862.09	Facility		$147.91	$169.82	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $147.91	Professional		$70.79	$83.18	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $30,902.95 / $57,543.99	Facility		$2,630.27	$30,902.95	$57,543.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $426.58	Professional		$79.43	$128.82	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,148.15	Facility		$616.60	$724.44	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $630.96 / $758.58	Professional		$141.25	$630.96	$758.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $204.17 / $416.87	Facility		$104.71	$204.17	$416.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $630.96	Professional		$199.53	$199.53	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $3,548.13 / $17,378.01	Facility		$204.17	$3,548.13	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $467.74 / $2,238.72	Professional		$138.04	$467.74	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $66.07 / $457.09	Professional		$32.36	$66.07	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $371.54	Professional		$141.25	$213.80	$371.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $4,168.69 / $4,168.69	Facility		$177.83	$4,168.69	$4,168.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $398.11 / $2,344.23	Professional		$114.82	$398.11	$2,344.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Security Health Facility/Professional Facility Modifier Low / Median / High Price $37,153.52 / $45,708.82 / $52,480.75	Facility		$37,153.52	$45,708.82	$52,480.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $1,995.26	Professional		$1,047.13	$1,548.82	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,677.35 / $20,417.38	Facility		$3,019.95	$4,677.35	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $426.58 / $1,023.29	Professional		$97.72	$426.58	$1,023.29