Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $295.12 / $1,000.00	Facility		$138.04	$295.12	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $478.63	Professional		$131.83	$239.88	$478.63
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 $204.17 / $316.23 / $691.83	Professional		$204.17	$316.23	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $831.76 / $1,318.26	Facility		$707.95	$831.76	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $575.44 / $1,230.27	Professional		$229.09	$575.44	$1,230.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $295.12 / $3,162.28	Facility		$141.25	$295.12	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $758.58	Professional		$263.03	$478.63	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $302.00 / $1,513.56	Facility		$141.25	$302.00	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $489.78 / $1,949.84	Professional		$245.47	$489.78	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $1,000.00	Professional		$269.15	$489.78	$1,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,288.25 / $1,288.25	Facility		$549.54	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,202.26 / $1,949.84	Professional		$263.03	$1,202.26	$1,949.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $812.83	Professional		$457.09	$457.09	$812.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,698.24	Professional		$588.84	$912.01	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $851.14	Professional		$154.88	$302.00	$851.14