Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,318.26 / $1,318.26	Facility		$575.44	$1,318.26	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $371.54 / $467.74	Professional		$147.91	$371.54	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $1,412.54	Professional		$93.33	$109.65	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,454.71	Facility		$1,318.26	$1,548.82	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,230.27 / $1,513.56	Professional		$549.54	$1,230.27	$1,513.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,995.26 / $3,019.95	Facility		$524.81	$1,995.26	$3,019.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,235.94	Professional		$2,884.03	$2,884.03	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $575.44 / $1,698.24	Facility		$436.52	$575.44	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $2,398.83	Professional		$93.33	$123.03	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $478.63	Professional		$50.12	$58.88	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,122.02 / $1,584.89	Professional		$407.38	$1,122.02	$1,584.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,290.87 / $2,290.87	Facility		$954.99	$2,290.87	$2,290.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,949.84 / $2,398.83	Professional		$691.83	$1,949.84	$2,398.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $3,630.78	Professional		$1,412.54	$2,630.27	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $575.44	Facility		$165.96	$165.96	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $478.63	Professional		$89.13	$123.03	$478.63