Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,187.76 / $2,187.76	Facility		$954.99	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $954.99	Professional		$562.34	$645.65	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $2,691.53	Professional		$204.17	$239.88	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $4,073.80	Facility		$2,187.76	$2,570.40	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,187.76 / $2,454.71	Professional		$912.01	$2,187.76	$2,454.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,311.31 / $5,011.87	Facility		$812.83	$3,311.31	$5,011.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,248.07	Professional		$4,786.30	$4,786.30	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $2,754.23	Facility		$660.69	$954.99	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $3,981.07	Professional		$354.81	$478.63	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $794.33	Professional		$50.12	$70.79	$794.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,630.27	Professional		$1,288.25	$1,862.09	$2,630.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,801.89 / $3,801.89	Facility		$1,584.89	$3,801.89	$3,801.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,981.07 / $3,981.07	Professional		$1,148.15	$3,981.07	$3,981.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $954.99	Facility		$630.96	$630.96	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $1,318.26	Professional		$331.13	$478.63	$1,318.26