Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,621.81 / $1,621.81	Facility		$707.95	$1,621.81	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $707.95	Professional		$407.38	$478.63	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $2,137.96	Professional		$245.47	$288.40	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $3,019.95	Facility		$1,621.81	$1,862.09	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,479.11 / $1,819.70	Professional		$676.08	$1,479.11	$1,819.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,454.71 / $3,715.35	Facility		$602.56	$2,454.71	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,890.45	Professional		$3,467.37	$3,467.37	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $2,041.74	Facility		$524.81	$707.95	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $2,884.03	Professional		$263.03	$354.81	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $295.12	Professional		$50.12	$70.79	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,905.46	Professional		$954.99	$1,380.38	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,754.23 / $2,754.23	Facility		$1,174.90	$2,754.23	$2,754.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,344.23 / $2,884.03	Professional		$851.14	$2,344.23	$2,884.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,162.28 / $3,162.28	Professional		$3,090.30	$3,162.28	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $707.95	Facility		$467.74	$467.74	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $954.99	Professional		$245.47	$354.81	$954.99