Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,288.25	Professional		$1,202.26	$1,230.27	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $3,467.37	Professional		$1,000.00	$1,621.81	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $1,288.25	Professional		$147.91	$186.21	$1,288.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $2,187.76	Facility		$1,202.26	$1,288.25	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $2,630.27	Facility		$1,202.26	$1,288.25	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $5,248.07	Professional		$1,258.93	$1,258.93	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $812.83	Professional		$141.25	$229.09	$812.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $4,466.84	Facility		$1,288.25	$1,288.25	$4,466.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $6,760.83	Professional		$1,288.25	$1,288.25	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $338.84	Professional		$147.91	$190.55	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $1,258.93	Professional		$125.89	$269.15	$1,258.93