Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $4,365.16 / $4,365.16	Facility		$199.53	$4,365.16	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $2,454.71 / $3,981.07	Professional		$446.68	$2,454.71	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $1,348.96	Professional		$239.88	$371.54	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $954.99 / $1,548.82	Facility		$831.76	$954.99	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $616.60 / $1,202.26	Professional		$257.04	$616.60	$1,202.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,454.71 / $4,365.16	Facility		$245.47	$2,454.71	$4,365.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $588.84 / $691.83	Professional		$128.82	$588.84	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $602.56 / $8,128.31	Facility		$239.88	$602.56	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,995.26 / $4,786.30	Professional		$338.84	$1,995.26	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $275.42	Professional		$32.36	$53.70	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $630.96 / $1,096.48	Professional		$323.59	$630.96	$1,096.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $8,912.51 / $8,912.51	Facility		$6,165.95	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,288.25 / $4,786.30	Professional		$323.59	$1,288.25	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,862.09 / $1,905.46	Professional		$758.58	$1,862.09	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $10,964.78	Facility		$8,317.64	$8,317.64	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,905.46 / $5,128.61	Professional		$398.11	$1,905.46	$5,128.61