Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,344.23 / $2,344.23	Facility		$1,023.29	$2,344.23	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,023.29	Professional		$588.84	$691.83	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $2,951.21	Professional		$288.40	$338.84	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $4,365.16	Facility		$2,344.23	$2,691.53	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,137.96 / $2,630.27	Professional		$977.24	$2,137.96	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,548.13 / $5,370.32	Facility		$870.96	$3,548.13	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,623.41	Professional		$5,128.61	$5,128.61	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,951.21	Facility		$758.58	$1,023.29	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $4,168.69	Professional		$380.19	$512.86	$4,168.69
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 $1,380.38 / $1,995.26 / $2,818.38	Professional		$1,380.38	$1,995.26	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $3,981.07	Facility		$1,698.24	$3,981.07	$3,981.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,388.44 / $4,168.69	Professional		$1,230.27	$3,388.44	$4,168.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,570.88 / $4,570.88	Professional		$4,466.84	$4,570.88	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,023.29	Facility		$676.08	$676.08	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $1,380.38	Professional		$354.81	$512.86	$1,380.38