Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,047.13 / $1,047.13	Facility		$457.09	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $288.40 / $457.09	Professional		$134.90	$288.40	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $794.33	Professional		$28.18	$33.11	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,949.84	Facility		$1,047.13	$1,230.27	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $977.24 / $1,202.26	Professional		$436.52	$977.24	$1,202.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $891.25 / $1,202.26	Facility		$389.05	$891.25	$1,202.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,570.40	Professional		$2,290.87	$2,290.87	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $457.09 / $1,348.96	Facility		$346.74	$457.09	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $1,905.46	Professional		$87.10	$114.82	$1,905.46
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 $616.60 / $912.01 / $1,258.93	Professional		$616.60	$912.01	$1,258.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,819.70 / $1,819.70	Facility		$776.25	$1,819.70	$1,819.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,548.82 / $1,905.46	Professional		$562.34	$1,548.82	$1,905.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,089.30 / $2,089.30	Professional		$1,995.26	$2,089.30	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $457.09	Facility		$154.88	$154.88	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $380.19	Professional		$83.18	$114.82	$380.19