Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $831.76 / $1,023.29	Facility		$446.68	$831.76	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $302.00 / $446.68	Professional		$83.18	$302.00	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,023.29	Facility		$812.83	$1,000.00	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $1,174.90	Professional		$151.36	$151.36	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,905.46	Facility		$1,023.29	$1,202.26	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $891.25 / $1,174.90	Professional		$426.58	$891.25	$1,174.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $446.68 / $758.58	Facility		$338.84	$446.68	$758.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,511.89	Professional		$2,238.72	$2,238.72	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $446.68 / $1,318.26	Facility		$338.84	$446.68	$1,318.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $223.87 / $1,862.09	Professional		$52.48	$223.87	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $891.25 / $1,230.27	Professional		$177.83	$891.25	$1,230.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,778.28 / $1,778.28	Facility		$758.58	$1,778.28	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,862.09 / $1,862.09	Professional		$446.68	$1,862.09	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $794.33	Professional		$70.79	$70.79	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $2,041.74	Professional		$70.79	$70.79	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $446.68	Facility		$302.00	$302.00	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $218.78 / $446.68	Professional		$56.23	$218.78	$446.68