Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $977.24 / $977.24	Facility		$851.14	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $870.96 / $912.01	Professional		$851.14	$870.96	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $1,659.59	Facility		$1,380.38	$1,584.89	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $891.25 / $891.25	Professional		$186.21	$891.25	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $933.25	Facility		$501.19	$776.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $1,905.46	Professional		$912.01	$1,479.11	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $891.25 / $1,202.26	Facility		$181.97	$891.25	$1,202.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $707.95 / $758.58	Professional		$147.91	$707.95	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $891.25 / $1,202.26	Facility		$181.97	$891.25	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $3,801.89	Professional		$891.25	$891.25	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $218.78	Professional		$50.12	$64.57	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $436.52 / $645.65	Professional		$204.17	$436.52	$645.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $3,548.13	Facility		$912.01	$912.01	$3,548.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $4,786.30	Professional		$912.01	$912.01	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $3,548.13	Professional		$2,238.72	$3,548.13	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $741.31	Facility		$707.95	$707.95	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,202.26	Professional		$891.25	$891.25	$1,202.26