Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $691.83 / $1,122.02	Facility		$478.63	$691.83	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $478.63	Professional		$263.03	$346.74	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,122.02	Facility		$870.96	$1,096.48	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $1,621.81	Professional		$162.18	$162.18	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,089.30	Facility		$1,122.02	$1,288.25	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $977.24 / $1,258.93	Professional		$467.74	$977.24	$1,258.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,230.27 / $1,778.28	Facility		$446.68	$1,230.27	$1,778.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,691.53	Professional		$2,398.83	$2,398.83	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $489.78 / $1,412.54	Facility		$363.08	$489.78	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $1,995.26	Professional		$169.82	$239.88	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $275.42	Professional		$54.95	$70.79	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $1,318.26	Professional		$575.44	$954.99	$1,318.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,905.46 / $1,905.46	Facility		$812.83	$1,905.46	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,995.26 / $1,995.26	Professional		$489.78	$1,995.26	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $851.14	Professional		$229.09	$229.09	$851.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $870.96 / $2,187.76	Professional		$229.09	$870.96	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $489.78	Facility		$323.59	$323.59	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $602.56	Professional		$169.82	$239.88	$602.56