Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,148.15 / $1,148.15	Facility		$416.87	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $489.78	Professional		$416.87	$416.87	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $1,479.11	Professional		$141.25	$165.96	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,698.24	Facility		$912.01	$1,202.26	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,288.25	Professional		$478.63	$724.44	$1,288.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,737.80 / $2,630.27	Facility		$416.87	$1,737.80	$2,630.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,754.23	Professional		$2,511.89	$2,511.89	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $501.19 / $1,445.44	Facility		$416.87	$501.19	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $2,089.30	Professional		$186.21	$239.88	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,380.38	Professional		$676.08	$977.24	$1,380.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,995.26 / $1,995.26	Facility		$831.76	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,659.59 / $2,089.30	Professional		$602.56	$1,659.59	$2,089.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Professional		$416.87	$416.87	$501.19
Security Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $2,290.87	Professional		$416.87	$416.87	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $501.19	Facility		$331.13	$331.13	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $645.65	Professional		$173.78	$239.88	$645.65