Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,698.24 / $2,089.30	Facility		$912.01	$1,698.24	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,122.02	Professional		$501.19	$645.65	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,089.30	Facility		$1,621.81	$2,041.74	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $3,019.95	Professional		$302.00	$302.00	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,890.45	Facility		$2,089.30	$2,454.71	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,819.70 / $2,344.23	Professional		$870.96	$1,819.70	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,090.30 / $4,466.84	Facility		$831.76	$3,090.30	$4,466.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $5,011.87	Professional		$4,570.88	$4,570.88	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $2,630.27	Facility		$676.08	$912.01	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $2,754.23	Professional		$338.84	$457.09	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $436.52	Professional		$50.12	$64.57	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,511.89	Professional		$1,318.26	$1,778.28	$2,511.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $3,630.78	Facility		$1,513.56	$3,630.78	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $3,801.89 / $3,801.89	Professional		$912.01	$3,801.89	$3,801.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,168.69 / $5,754.40	Professional		$2,187.76	$4,168.69	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $912.01	Facility		$602.56	$602.56	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $1,258.93	Professional		$316.23	$457.09	$1,258.93