Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $588.84	Professional		$426.58	$489.78	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $2,454.71	Professional		$575.44	$575.44	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,090.30	Facility		$1,659.59	$1,949.84	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,548.82 / $1,905.46	Professional		$691.83	$1,548.82	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,570.40 / $3,890.45	Facility		$616.60	$2,570.40	$3,890.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,073.80	Professional		$3,630.78	$3,630.78	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $724.44 / $2,137.96	Facility		$549.54	$724.44	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $3,019.95	Professional		$275.42	$363.08	$3,019.95
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 $977.24 / $1,445.44 / $1,995.26	Professional		$977.24	$1,445.44	$1,995.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,884.03 / $2,884.03	Facility		$1,230.27	$2,884.03	$2,884.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,454.71 / $3,019.95	Professional		$891.25	$2,454.71	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $724.44	Facility		$489.78	$489.78	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $1,000.00	Professional		$257.04	$363.08	$1,000.00