Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $870.96 / $1,995.26	Facility		$524.81	$870.96	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $870.96	Professional		$501.19	$588.84	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $2,884.03	Professional		$229.09	$229.09	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,715.35	Facility		$1,995.26	$2,290.87	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,819.70 / $2,238.72	Professional		$831.76	$1,819.70	$2,238.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,019.95 / $4,570.88	Facility		$741.31	$3,019.95	$4,570.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,786.30	Professional		$4,265.80	$4,265.80	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $870.96 / $2,511.89	Facility		$645.65	$870.96	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $3,548.13	Professional		$323.59	$436.52	$3,548.13
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 $1,174.90 / $1,698.24 / $2,398.83	Professional		$1,174.90	$1,698.24	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,388.44 / $3,388.44	Facility		$1,445.44	$3,388.44	$3,388.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,884.03 / $3,548.13	Professional		$1,047.13	$2,884.03	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $870.96	Facility		$575.44	$575.44	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $1,174.90	Professional		$302.00	$436.52	$1,174.90