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 $457.09 / $616.60 / $954.99	Professional		$457.09	$616.60	$954.99
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 / $1,318.26 / $2,398.83	Professional		$870.96	$1,318.26	$2,398.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,454.71 / $3,548.13	Facility		$831.76	$2,454.71	$3,548.13
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 $691.83 / $912.01 / $2,630.27	Facility		$691.83	$912.01	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $3,801.89	Professional		$316.23	$457.09	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $70.79	Professional		$32.36	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $2,511.89	Professional		$1,148.15	$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 $363.08 / $3,801.89 / $3,801.89	Professional		$363.08	$3,801.89	$3,801.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,621.81	Professional		$446.68	$446.68	$1,621.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,737.80 / $4,168.69	Professional		$446.68	$1,737.80	$4,168.69
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 / $1,148.15	Professional		$316.23	$457.09	$1,148.15