Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $371.54 / $1,905.46	Facility		$100.00	$371.54	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $251.19 / $562.34	Professional		$89.13	$251.19	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $389.05 / $1,122.02	Professional		$123.03	$389.05	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,659.59	Facility		$891.25	$1,047.13	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $346.74 / $1,230.27	Professional		$117.49	$346.74	$1,230.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $251.19 / $2,238.72	Facility		$93.33	$251.19	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $380.19 / $870.96	Professional		$165.96	$380.19	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $263.03 / $5,623.41	Facility		$93.33	$263.03	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $691.83 / $2,398.83	Professional		$288.40	$691.83	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $407.38 / $1,202.26	Professional		$162.18	$407.38	$1,202.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $7,943.28	Facility		$5,370.32	$7,943.28	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $691.83 / $2,290.87	Professional		$114.82	$691.83	$2,290.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $1,288.25	Professional		$331.13	$331.13	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,659.59	Professional		$323.59	$501.19	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $295.12 / $794.33	Professional		$100.00	$295.12	$794.33