Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $630.96 / $3,090.30	Facility		$257.04	$630.96	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $933.25	Professional		$263.03	$426.58	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $870.96 / $1,905.46	Professional		$457.09	$870.96	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $2,454.71	Facility		$1,318.26	$1,513.56	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $812.83 / $1,318.26	Professional		$389.05	$812.83	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $851.14 / $3,715.35	Facility		$295.12	$851.14	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,445.44	Professional		$562.34	$891.25	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $851.14 / $3,630.78	Facility		$309.03	$851.14	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $812.83 / $2,290.87	Professional		$446.68	$812.83	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $870.96	Professional		$32.36	$33.11	$870.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,023.29 / $1,819.70	Professional		$616.60	$1,023.29	$1,819.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $2,187.76	Facility		$1,258.93	$2,187.76	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $724.44 / $3,548.13	Professional		$354.81	$724.44	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $933.25	Professional		$575.44	$575.44	$933.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,318.26 / $2,089.30	Professional		$549.54	$1,318.26	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $4,677.35	Facility		$2,238.72	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $602.56 / $1,584.89	Professional		$316.23	$602.56	$1,584.89