Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $812.83	Professional		$478.63	$562.34	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $1,862.09	Facility		$1,479.11	$1,819.70	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $2,398.83	Professional		$66.07	$77.62	$2,398.83
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 / $1,737.80 / $2,137.96	Professional		$776.25	$1,737.80	$2,137.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,884.03 / $4,365.16	Facility		$758.58	$2,884.03	$4,365.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,570.88	Professional		$4,073.80	$4,073.80	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $812.83 / $2,398.83	Facility		$616.60	$812.83	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $3,388.44	Professional		$309.03	$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 $1,071.52 / $1,584.89 / $2,238.72	Professional		$1,071.52	$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 $1,000.00 / $3,388.44 / $3,388.44	Professional		$1,000.00	$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 $1,995.26 / $3,715.35 / $5,248.07	Professional		$1,995.26	$3,715.35	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $812.83	Facility		$549.54	$549.54	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $1,122.02	Professional		$288.40	$407.38	$1,122.02