Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,659.59 / $1,659.59	Facility		$724.44	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $724.44	Professional		$416.87	$489.78	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,659.59	Facility		$1,288.25	$1,621.81	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $2,187.76	Professional		$204.17	$239.88	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,090.30	Facility		$1,659.59	$1,905.46	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,513.56 / $1,862.09	Professional		$691.83	$1,513.56	$1,862.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,454.71 / $3,467.37	Facility		$616.60	$2,454.71	$3,467.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,981.07	Professional		$3,548.13	$3,548.13	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $758.58 / $2,089.30	Facility		$537.03	$758.58	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $3,019.95	Professional		$269.15	$354.81	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $302.00	Professional		$50.12	$64.57	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $1,949.84	Professional		$977.24	$1,412.54	$1,949.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,818.38 / $2,818.38	Facility		$1,202.26	$2,818.38	$2,818.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $3,019.95 / $3,019.95	Professional		$870.96	$3,019.95	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $4,570.88	Professional		$1,737.80	$3,235.94	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $724.44	Facility		$478.63	$478.63	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $977.24	Professional		$251.19	$354.81	$977.24