Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $588.84 / $1,905.46	Facility		$338.84	$588.84	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $741.31	Professional		$245.47	$338.84	$741.31
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 $363.08 / $549.54 / $1,202.26	Professional		$363.08	$549.54	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,778.28	Facility		$954.99	$1,122.02	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $870.96 / $1,230.27	Professional		$446.68	$870.96	$1,230.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $676.08 / $10,471.29	Facility		$331.13	$676.08	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,071.52	Professional		$616.60	$776.25	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $707.95 / $1,778.28	Facility		$295.12	$707.95	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $2,187.76	Professional		$407.38	$676.08	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $891.25 / $1,258.93	Professional		$446.68	$891.25	$1,258.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,398.83 / $2,398.83	Facility		$741.31	$2,398.83	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $977.24 / $2,691.53	Professional		$407.38	$977.24	$2,691.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $676.08	Professional		$537.03	$537.03	$676.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,148.15	Professional		$630.96	$891.25	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $1,318.26	Professional		$323.59	$562.34	$1,318.26