Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,479.11	Professional		$1,174.90	$1,174.90	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,258.93	Professional		$1,230.27	$1,230.27	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $4,786.30	Facility		$1,737.80	$3,235.94	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $2,290.87	Professional		$1,348.96	$1,995.26	$2,290.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,318.26	Facility		$1,174.90	$1,288.25	$1,318.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $1,949.84	Professional		$28.84	$28.84	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $6,606.93	Facility		$5,248.07	$5,248.07	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $2,187.76	Professional		$1,548.82	$1,778.28	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $512.86 / $1,202.26	Facility		$12.88	$512.86	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25