Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,479.11 / $14,454.40	Facility		$707.95	$1,479.11	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $1,659.59	Professional		$676.08	$758.58	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,412.54 / $3,548.13	Professional		$691.83	$1,412.54	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,467.37	Facility		$1,862.09	$2,187.76	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,951.21 / $3,388.44	Professional		$912.01	$2,951.21	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $10,471.29	Facility		$724.44	$1,479.11	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,238.72	Professional		$1,288.25	$1,737.80	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,778.28	Facility		$724.44	$1,202.26	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $5,495.41	Professional		$758.58	$1,230.27	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,548.82 / $2,238.72	Professional		$851.14	$1,548.82	$2,238.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $4,677.35	Facility		$1,862.09	$1,862.09	$4,677.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,388.44 / $5,370.32	Professional		$1,288.25	$3,388.44	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $5,128.61	Professional		$2,570.40	$4,570.88	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,884.03	Professional		$741.31	$1,096.48	$2,884.03