Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,905.46 / $1,905.46	Facility		$831.76	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $676.08	Professional		$478.63	$562.34	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $2,137.96	Professional		$281.84	$338.84	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,548.13	Facility		$1,905.46	$2,238.72	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,737.80 / $2,137.96	Professional		$794.33	$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 $4,168.69 / $4,168.69 / $4,570.88	Professional		$4,168.69	$4,168.69	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $831.76 / $2,398.83	Facility		$616.60	$831.76	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $3,467.37	Professional		$309.03	$416.87	$3,467.37
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 $1,122.02 / $1,621.81 / $2,290.87	Professional		$1,122.02	$1,621.81	$2,290.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,311.31 / $3,311.31	Facility		$1,380.38	$3,311.31	$3,311.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,754.23 / $3,467.37	Professional		$1,000.00	$2,754.23	$3,467.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $5,248.07	Professional		$1,995.26	$3,801.89	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $831.76	Facility		$549.54	$549.54	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $1,148.15	Professional		$288.40	$416.87	$1,148.15