Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,041.74 / $2,041.74	Facility		$891.25	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $891.25	Professional		$524.81	$616.60	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $2,398.83	Professional		$338.84	$338.84	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,890.45	Facility		$2,041.74	$2,398.83	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,905.46 / $2,344.23	Professional		$870.96	$1,905.46	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,162.28 / $4,786.30	Facility		$831.76	$3,162.28	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $5,011.87	Professional		$4,466.84	$4,466.84	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $2,630.27	Facility		$676.08	$891.25	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $3,715.35	Professional		$338.84	$446.68	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,454.71	Professional		$1,202.26	$1,778.28	$2,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,548.13 / $3,548.13	Facility		$1,513.56	$3,548.13	$3,548.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,019.95 / $3,715.35	Professional		$1,096.48	$3,019.95	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,073.80 / $5,754.40	Professional		$2,187.76	$4,073.80	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $891.25	Facility		$602.56	$602.56	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $1,230.27	Professional		$316.23	$446.68	$1,230.27