Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,380.38 / $1,380.38	Facility		$602.56	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $602.56	Professional		$354.81	$407.38	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $1,737.80	Professional		$24.55	$28.84	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,570.40	Facility		$1,380.38	$1,621.81	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,584.89	Professional		$575.44	$724.44	$1,584.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,737.80 / $2,951.21	Facility		$302.00	$1,737.80	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $2,398.83	Facility		$302.00	$478.63	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $912.01	Professional		$251.19	$302.00	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $251.19	Professional		$50.12	$54.95	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,148.15 / $1,659.59	Professional		$645.65	$1,148.15	$1,659.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,398.83	Facility		$1,000.00	$1,000.00	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $3,801.89	Professional		$1,479.11	$2,754.23	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $602.56	Facility		$407.38	$407.38	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $977.24	Professional		$213.80	$302.00	$977.24