Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $891.25 / $891.25	Facility		$389.05	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $389.05	Professional		$239.88	$269.15	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $870.96 / $891.25	Facility		$691.83	$870.96	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $1,148.15	Professional		$5.01	$5.89	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,659.59	Facility		$891.25	$1,047.13	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $812.83 / $1,000.00	Professional		$371.54	$812.83	$1,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,479.11 / $2,089.30	Facility		$354.81	$1,479.11	$2,089.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,137.96	Professional		$1,949.84	$1,949.84	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $416.87 / $1,122.02	Facility		$288.40	$416.87	$1,122.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $1,621.81	Professional		$151.36	$213.80	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $323.59	Professional		$50.12	$64.57	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,071.52	Professional		$524.81	$758.58	$1,071.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,548.82 / $1,548.82	Facility		$645.65	$1,548.82	$1,548.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,621.81 / $1,621.81	Professional		$467.74	$1,621.81	$1,621.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,454.71	Professional		$1,778.28	$1,778.28	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $389.05	Facility		$288.40	$288.40	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $588.84	Professional		$134.90	$213.80	$588.84