Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,162.28 / $3,162.28	Facility		$1,380.38	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,380.38	Professional		$794.33	$933.25	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $6,309.57	Professional		$1,148.15	$1,819.70	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $5,888.44	Facility		$3,162.28	$3,715.35	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,162.28 / $3,548.13	Professional		$1,318.26	$3,162.28	$3,548.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,786.30 / $7,244.36	Facility		$1,174.90	$4,786.30	$7,244.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $7,585.78	Professional		$6,918.31	$6,918.31	$7,585.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,445.44 / $3,981.07	Facility		$954.99	$1,445.44	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $5,623.41	Professional		$512.86	$691.83	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $3,801.89	Professional		$1,862.09	$2,691.53	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $5,370.32	Facility		$2,290.87	$5,370.32	$5,370.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $5,623.41 / $5,623.41	Professional		$1,659.59	$5,623.41	$5,623.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,905.46	Professional		$478.63	$691.83	$1,905.46