Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,047.13 / $1,047.13	Facility		$457.09	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $457.09	Professional		$263.03	$309.03	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,047.13	Facility		$812.83	$1,023.29	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,258.93 / $1,584.89	Professional		$457.09	$1,258.93	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,949.84	Facility		$1,047.13	$1,230.27	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $954.99 / $1,174.90	Professional		$436.52	$954.99	$1,174.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,584.89 / $2,398.83	Facility		$416.87	$1,584.89	$2,398.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,511.89	Professional		$2,290.87	$2,290.87	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $457.09 / $1,318.26	Facility		$338.84	$457.09	$1,318.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $1,905.46	Professional		$169.82	$229.09	$1,905.46
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 $616.60 / $891.25 / $1,258.93	Professional		$616.60	$891.25	$1,258.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,819.70 / $1,819.70	Facility		$758.58	$1,819.70	$1,819.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,905.46 / $1,905.46	Professional		$549.54	$1,905.46	$1,905.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,089.30 / $2,884.03	Professional		$1,096.48	$2,089.30	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $457.09	Facility		$302.00	$302.00	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $630.96	Professional		$158.49	$229.09	$630.96