Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,288.25	Facility		$1,047.13	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $457.09	Professional		$323.59	$371.54	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,288.25	Facility		$1,000.00	$1,258.93	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $1,819.70	Professional		$239.88	$281.84	$1,819.70
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 $537.03 / $1,174.90 / $1,445.44	Professional		$537.03	$1,174.90	$1,445.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,905.46 / $2,754.23	Facility		$512.86	$1,905.46	$2,754.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,090.30	Professional		$2,818.38	$2,818.38	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $602.56 / $1,621.81	Facility		$416.87	$602.56	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $1,659.59	Professional		$234.42	$281.84	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,548.82	Professional		$758.58	$1,096.48	$1,548.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,238.72 / $2,238.72	Facility		$933.25	$2,238.72	$2,238.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $2,344.23 / $2,344.23	Professional		$676.08	$2,344.23	$2,344.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $2,884.03	Professional		$467.74	$467.74	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $562.34	Facility		$371.54	$371.54	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $776.25	Professional		$194.98	$281.84	$776.25