Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,122.02 / $1,122.02	Facility		$489.78	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $398.11	Professional		$281.84	$331.13	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $1,202.26	Professional		$83.18	$97.72	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,089.30	Facility		$1,122.02	$1,318.26	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,023.29 / $1,258.93	Professional		$467.74	$1,023.29	$1,258.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,698.24 / $2,570.40	Facility		$446.68	$1,698.24	$2,570.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,691.53	Professional		$2,454.71	$2,454.71	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $489.78 / $1,412.54	Facility		$363.08	$489.78	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $2,041.74	Professional		$181.97	$245.47	$2,041.74
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 $660.69 / $954.99 / $1,348.96	Professional		$660.69	$954.99	$1,348.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,949.84 / $1,949.84	Facility		$812.83	$1,949.84	$1,949.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,621.81 / $2,041.74	Professional		$588.84	$1,621.81	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $3,090.30	Professional		$1,174.90	$2,238.72	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $489.78	Facility		$323.59	$323.59	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $676.08	Professional		$169.82	$245.47	$676.08