Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,862.09 / $1,862.09	Facility		$812.83	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $812.83	Professional		$467.74	$549.54	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $1,862.09	Facility		$1,445.44	$1,819.70	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $2,691.53	Professional		$181.97	$181.97	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,467.37	Facility		$1,862.09	$2,187.76	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,698.24 / $2,089.30	Professional		$776.25	$1,698.24	$2,089.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,818.38 / $4,265.80	Facility		$741.31	$2,818.38	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,466.84	Professional		$4,073.80	$4,073.80	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $2,344.23	Facility		$602.56	$812.83	$2,344.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $3,388.44	Professional		$302.00	$407.38	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $338.84	Professional		$50.12	$64.57	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,238.72	Professional		$1,096.48	$1,584.89	$2,238.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,235.94 / $3,235.94	Facility		$1,348.96	$3,235.94	$3,235.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $3,388.44 / $3,388.44	Professional		$977.24	$3,388.44	$3,388.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $5,128.61	Professional		$3,715.35	$3,715.35	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $812.83	Facility		$537.03	$537.03	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $1,122.02	Professional		$281.84	$407.38	$1,122.02