Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,122.02 / $1,380.38	Facility		$602.56	$1,122.02	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $1,000.00	Professional		$363.08	$436.52	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,380.38	Facility		$1,071.52	$1,348.96	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $1,995.26	Professional		$199.53	$199.53	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,570.40	Facility		$1,380.38	$1,621.81	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,202.26 / $1,548.82	Professional		$575.44	$1,202.26	$1,548.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,041.74 / $2,951.21	Facility		$549.54	$2,041.74	$2,951.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,311.31	Professional		$3,019.95	$3,019.95	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $602.56 / $1,737.80	Facility		$446.68	$602.56	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $1,778.28	Professional		$223.87	$302.00	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $501.19	Professional		$54.95	$70.79	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,659.59	Professional		$870.96	$1,174.90	$1,659.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $2,511.89 / $2,511.89	Professional		$602.56	$2,511.89	$2,511.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,754.23 / $3,801.89	Professional		$1,445.44	$2,754.23	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $602.56	Facility		$398.11	$398.11	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $831.76	Professional		$208.93	$302.00	$831.76