Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,122.02 / $1,122.02	Facility		$489.78	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $407.38	Professional		$309.03	$338.84	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,122.02	Facility		$891.25	$1,096.48	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $1,621.81	Professional		$81.28	$81.28	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,089.30	Facility		$1,122.02	$1,318.26	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,023.29 / $1,288.25	Professional		$467.74	$1,023.29	$1,288.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,862.09 / $2,691.53	Facility		$446.68	$1,862.09	$2,691.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,754.23	Professional		$2,454.71	$2,454.71	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $1,445.44	Facility		$371.54	$524.81	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $2,041.74	Professional		$190.55	$275.42	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $204.17	Professional		$50.12	$64.57	$204.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,348.96	Professional		$660.69	$954.99	$1,348.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,949.84 / $1,949.84	Facility		$812.83	$1,949.84	$1,949.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,041.74 / $2,041.74	Professional		$588.84	$2,041.74	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $3,090.30	Professional		$1,202.26	$2,238.72	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $489.78	Facility		$363.08	$363.08	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $758.58	Professional		$173.78	$275.42	$758.58