Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $707.95	Professional		$512.86	$575.44	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $2,570.40	Professional		$218.78	$257.04	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,715.35	Facility		$1,995.26	$2,344.23	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,819.70 / $2,238.72	Professional		$831.76	$1,819.70	$2,238.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,019.95 / $4,570.88	Facility		$741.31	$3,019.95	$4,570.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,786.30	Professional		$4,365.16	$4,365.16	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $870.96 / $2,511.89	Facility		$645.65	$870.96	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $3,630.78	Professional		$323.59	$436.52	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,398.83	Professional		$1,174.90	$1,698.24	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,467.37 / $3,467.37	Facility		$1,445.44	$3,467.37	$3,467.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,884.03 / $3,630.78	Professional		$1,047.13	$2,884.03	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $3,981.07	Professional		$3,801.89	$3,981.07	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $870.96	Facility		$575.44	$575.44	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $1,202.26	Professional		$302.00	$436.52	$1,202.26