Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $457.09 / $1,905.46	Facility		$229.09	$457.09	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $691.83	Professional		$204.17	$380.19	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $588.84 / $1,698.24	Professional		$275.42	$588.84	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,995.26	Facility		$1,071.52	$1,258.93	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $645.65 / $1,513.56	Professional		$251.19	$645.65	$1,513.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $416.87 / $2,398.83	Facility		$208.93	$416.87	$2,398.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $1,096.48	Professional		$380.19	$707.95	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $426.58 / $3,235.94	Facility		$218.78	$426.58	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,023.29 / $3,019.95	Professional		$416.87	$1,023.29	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $676.08 / $1,479.11	Professional		$331.13	$676.08	$1,479.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $2,754.23	Facility		$1,862.09	$2,754.23	$2,754.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $933.25 / $2,884.03	Professional		$251.19	$933.25	$2,884.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,548.82	Professional		$758.58	$758.58	$1,548.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $2,041.74	Professional		$758.58	$1,258.93	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $6,456.54	Facility		$2,884.03	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $457.09 / $1,122.02	Professional		$229.09	$457.09	$1,122.02