Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $977.24 / $1,202.26	Facility		$524.81	$977.24	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $363.08 / $524.81	Professional		$158.49	$363.08	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,202.26	Facility		$954.99	$1,174.90	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $1,513.56	Professional		$177.83	$177.83	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,238.72	Facility		$1,202.26	$1,412.54	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,047.13 / $1,380.38	Professional		$501.19	$1,047.13	$1,380.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $831.76 / $1,288.25	Facility		$478.63	$831.76	$1,288.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,951.21	Professional		$2,630.27	$2,630.27	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $1,548.82	Facility		$398.11	$524.81	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $263.03 / $2,187.76	Professional		$100.00	$263.03	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $218.78	Professional		$50.12	$70.79	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,047.13 / $1,445.44	Professional		$338.84	$1,047.13	$1,445.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,089.30 / $2,089.30	Facility		$870.96	$2,089.30	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $2,187.76 / $2,187.76	Professional		$524.81	$2,187.76	$2,187.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $933.25	Professional		$131.83	$131.83	$933.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $467.74 / $2,398.83	Professional		$131.83	$467.74	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $524.81	Facility		$354.81	$354.81	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $263.03 / $524.81	Professional		$104.71	$263.03	$524.81