Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $912.01	Professional		$630.96	$724.44	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $2,691.53	Professional		$707.95	$1,023.29	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $3,548.13	Facility		$1,905.46	$2,187.76	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,737.80 / $2,511.89	Professional		$933.25	$1,737.80	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $1,380.38	Facility		$660.69	$812.83	$1,380.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $1,380.38	Facility		$660.69	$812.83	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,230.27 / $4,677.35	Professional		$741.31	$1,230.27	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $85.11	Professional		$32.36	$60.26	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $2,691.53	Professional		$1,047.13	$1,819.70	$2,691.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $4,677.35	Facility		$1,737.80	$1,737.80	$4,677.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $3,311.31 / $4,677.35	Professional		$912.01	$3,311.31	$4,677.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,238.72 / $3,467.37	Professional		$933.25	$2,238.72	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,318.26	Facility		$1,000.00	$1,000.00	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $2,137.96	Professional		$707.95	$1,148.15	$2,137.96