Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,230.27 / $1,230.27	Facility		$537.03	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $537.03	Professional		$316.23	$371.54	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,230.27	Facility		$977.24	$1,202.26	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $1,819.70	Professional		$181.97	$181.97	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,290.87	Facility		$1,230.27	$1,445.44	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,148.15 / $1,412.54	Professional		$512.86	$1,148.15	$1,412.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,905.46 / $2,884.03	Facility		$501.19	$1,905.46	$2,884.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,019.95	Professional		$2,691.53	$2,691.53	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $537.03 / $1,584.89	Facility		$407.38	$537.03	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $2,238.72	Professional		$204.17	$269.15	$2,238.72
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 $707.95 / $1,071.52 / $1,479.11	Professional		$707.95	$1,071.52	$1,479.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,137.96 / $2,137.96	Facility		$912.01	$2,137.96	$2,137.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,238.72 / $2,238.72	Professional		$660.69	$2,238.72	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $3,467.37	Professional		$1,318.26	$2,454.71	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $537.03	Facility		$363.08	$363.08	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $741.31	Professional		$190.55	$269.15	$741.31