Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,148.15 / $1,659.59	Facility		$199.53	$1,148.15	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,148.15	Professional		$562.34	$758.58	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $4,073.80	Professional		$741.31	$1,148.15	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $3,981.07	Facility		$2,137.96	$2,454.71	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,344.23 / $4,073.80	Professional		$1,096.48	$2,344.23	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,513.56 / $2,089.30	Facility		$794.33	$1,513.56	$2,089.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,238.72	Professional		$1,584.89	$1,862.09	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $891.25 / $1,548.82	Facility		$741.31	$891.25	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,584.89 / $4,786.30	Professional		$776.25	$1,584.89	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,862.09 / $3,467.37	Professional		$501.19	$1,862.09	$3,467.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,623.41 / $5,623.41	Facility		$1,862.09	$5,623.41	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,715.35 / $4,786.30	Professional		$1,148.15	$3,715.35	$4,786.30
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 $2,454.71 / $4,677.35 / $5,754.40	Professional		$2,454.71	$4,677.35	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,454.71	Facility		$1,862.09	$1,862.09	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,318.26 / $3,235.94	Professional		$758.58	$1,318.26	$3,235.94