Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $1,000.00	Professional		$338.84	$630.96	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $2,951.21	Professional		$776.25	$1,288.25	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,677.35	Facility		$2,511.89	$2,951.21	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $812.83 / $1,621.81	Professional		$102.33	$812.83	$1,621.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $467.74 / $2,454.71	Facility		$100.00	$467.74	$2,454.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $2,511.89	Professional		$162.18	$269.15	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $478.63 / $2,454.71	Facility		$100.00	$478.63	$2,454.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $3,019.95	Professional		$724.44	$1,148.15	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $85.11	Professional		$70.79	$70.79	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,174.90 / $3,388.44	Professional		$162.18	$1,174.90	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $5,011.87	Facility		$1,737.80	$1,737.80	$5,011.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $5,011.87	Professional		$812.83	$812.83	$5,011.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $1,071.52	Professional		$104.71	$104.71	$1,071.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $3,162.28	Professional		$309.03	$309.03	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $7,244.36	Facility		$5,495.41	$5,495.41	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,122.02 / $2,754.23	Professional		$630.96	$1,122.02	$2,754.23