Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $501.19 / $3,090.30	Facility		$269.15	$501.19	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $588.84	Professional		$223.87	$331.13	$588.84
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 $295.12 / $562.34 / $1,479.11	Professional		$295.12	$562.34	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,737.80	Facility		$933.25	$1,096.48	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $588.84 / $1,318.26	Professional		$263.03	$588.84	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $331.13 / $2,754.23	Facility		$186.21	$331.13	$2,754.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,000.00	Professional		$446.68	$645.65	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $331.13 / $3,548.13	Facility		$186.21	$331.13	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $741.31 / $2,630.27	Professional		$295.12	$741.31	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $1,258.93	Professional		$416.87	$741.31	$1,258.93
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 $263.03 / $794.33 / $2,511.89	Professional		$263.03	$794.33	$2,511.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,288.25	Professional		$870.96	$870.96	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,778.28	Professional		$776.25	$1,174.90	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $1,023.29	Professional		$223.87	$371.54	$1,023.29