Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,380.38	Professional		$1,288.25	$1,318.26	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $3,715.35	Professional		$1,071.52	$1,778.28	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $1,380.38	Professional		$147.91	$186.21	$1,380.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $2,398.83	Facility		$1,288.25	$1,380.38	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $2,818.38	Facility		$1,288.25	$1,380.38	$2,818.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $5,754.40	Professional		$1,348.96	$1,348.96	$5,754.40
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 $1,380.38 / $1,380.38 / $4,897.79	Facility		$1,380.38	$1,380.38	$4,897.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $7,244.36	Professional		$1,380.38	$1,380.38	$7,244.36
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 $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $1,348.96	Professional		$125.89	$269.15	$1,348.96