Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $1,288.25	Facility		$199.53	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,778.28	Professional		$660.69	$954.99	$1,778.28
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 $2,089.30 / $2,454.71 / $3,981.07	Facility		$2,089.30	$2,454.71	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,467.37 / $3,981.07	Professional		$1,230.27	$3,467.37	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,630.78 / $5,128.61	Facility		$933.25	$3,630.78	$5,128.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $3,235.94	Facility		$758.58	$1,023.29	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,905.46 / $8,709.64	Professional		$851.14	$1,905.46	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $524.81	Professional		$32.36	$50.12	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $3,162.28	Professional		$1,513.56	$2,238.72	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $7,244.36	Facility		$2,630.27	$2,630.27	$7,244.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $8,709.64 / $8,709.64	Professional		$4,365.16	$8,709.64	$8,709.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $5,888.44	Professional		$3,467.37	$4,786.30	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $4,365.16	Facility		$3,311.31	$3,311.31	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $3,090.30	Professional		$794.33	$1,348.96	$3,090.30