Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $741.31 / $1,659.59	Facility		$302.00	$741.31	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $891.25	Professional		$302.00	$389.05	$891.25
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 / $1,949.84	Professional		$457.09	$870.96	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,290.87	Facility		$1,202.26	$1,412.54	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $758.58 / $1,348.96	Professional		$380.19	$758.58	$1,348.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $933.25 / $3,311.31	Facility		$331.13	$933.25	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,348.96	Professional		$660.69	$977.24	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $831.76 / $1,659.59	Facility		$354.81	$831.76	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $2,691.53	Professional		$457.09	$831.76	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,096.48	Professional		$32.36	$33.11	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,445.44	Professional		$602.56	$1,000.00	$1,445.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,951.21 / $2,951.21	Facility		$933.25	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $3,311.31	Professional		$380.19	$630.96	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $831.76	Professional		$660.69	$660.69	$831.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,548.82 / $1,949.84	Professional		$676.08	$1,548.82	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $1,584.89	Professional		$371.54	$602.56	$1,584.89