Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,819.70 / $1,819.70	Facility		$794.33	$1,819.70	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $794.33	Professional		$467.74	$537.03	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,348.96 / $3,630.78	Professional		$660.69	$1,348.96	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,388.44	Facility		$1,819.70	$2,137.96	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,819.70 / $2,089.30	Professional		$758.58	$1,819.70	$2,089.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,754.23 / $4,168.69	Facility		$676.08	$2,754.23	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,365.16	Professional		$3,981.07	$3,981.07	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $851.14 / $2,344.23	Facility		$549.54	$851.14	$2,344.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $3,311.31	Professional		$295.12	$398.11	$3,311.31
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 $1,071.52 / $1,548.82 / $2,187.76	Professional		$1,071.52	$1,548.82	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,162.28 / $3,162.28	Facility		$1,318.26	$3,162.28	$3,162.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $3,311.31 / $3,311.31	Professional		$954.99	$3,311.31	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $1,096.48	Professional		$275.42	$398.11	$1,096.48