Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $17,782.79	Facility		$331.13	$331.13	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $426.58	Professional		$302.00	$363.08	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,862.09	Facility		$954.99	$1,096.48	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $676.08	Professional		$323.59	$602.56	$676.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $380.19 / $758.58	Facility		$331.13	$380.19	$758.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,000.00	Professional		$645.65	$741.31	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $758.58 / $16,595.87	Facility		$354.81	$758.58	$16,595.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $2,290.87	Professional		$407.38	$616.60	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,174.90	Professional		$562.34	$851.14	$1,174.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,862.09 / $2,290.87	Professional		$323.59	$1,862.09	$2,290.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,754.23	Professional		$1,548.82	$2,137.96	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,258.93	Professional		$389.05	$562.34	$1,258.93