Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,513.56 / $1,513.56	Facility		$199.53	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,398.83	Professional		$758.58	$1,096.48	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $5,888.44	Professional		$977.24	$1,513.56	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,677.35	Facility		$2,511.89	$2,951.21	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $4,168.69 / $4,677.35	Professional		$1,479.11	$4,168.69	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $5,011.87 / $7,079.46	Facility		$1,071.52	$5,011.87	$7,079.46
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $3,235.94	Facility		$870.96	$1,202.26	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,698.24 / $7,413.10	Professional		$165.96	$1,698.24	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $851.14	Professional		$32.36	$58.88	$851.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $3,630.78	Professional		$1,737.80	$2,630.27	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $6,606.93	Facility		$2,630.27	$2,630.27	$6,606.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,413.10 / $7,413.10	Professional		$5,011.87	$7,413.10	$7,413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,623.41 / $7,079.46	Professional		$4,073.80	$5,623.41	$7,079.46
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 $169.82 / $1,288.25 / $3,388.44	Professional		$169.82	$1,288.25	$3,388.44