Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,380.38	Professional		$660.69	$933.25	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $5,011.87	Professional		$831.76	$1,288.25	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,801.89	Facility		$2,041.74	$2,398.83	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $3,388.44 / $3,890.45	Professional		$1,202.26	$3,388.44	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,630.78 / $5,128.61	Facility		$912.01	$3,630.78	$5,128.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,479.11	Facility		$741.31	$1,023.29	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $1,380.38 / $5,623.41	Professional		$144.54	$1,380.38	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $524.81	Professional		$32.36	$58.88	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,162.28	Professional		$1,513.56	$2,344.23	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $5,623.41	Facility		$2,137.96	$2,137.96	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,623.41 / $5,623.41	Professional		$4,365.16	$5,623.41	$5,623.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,677.35 / $5,754.40	Professional		$3,388.44	$4,677.35	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,949.84	Facility		$1,479.11	$1,479.11	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,096.48 / $2,754.23	Professional		$151.36	$1,096.48	$2,754.23