Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,238.72	Facility		$776.25	$1,122.02	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,288.25	Professional		$741.31	$741.31	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,659.59	Facility		$933.25	$933.25	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $954.99	Professional		$741.31	$741.31	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,479.11 / $2,570.40	Facility		$741.31	$1,479.11	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,380.38	Professional		$741.31	$954.99	$1,380.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $1,659.59	Facility		$501.19	$741.31	$1,659.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $1,513.56 / $1,513.56	Professional		$34.67	$1,513.56	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $1,621.81	Facility		$501.19	$741.31	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,202.26	Professional		$741.31	$741.31	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $741.31	Professional		$64.57	$85.11	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $2,238.72	Professional		$741.31	$812.83	$2,238.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $3,715.35	Facility		$741.31	$741.31	$3,715.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,230.27	Professional		$676.08	$1,000.00	$1,230.27
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 $741.31 / $741.31 / $1,023.29	Professional		$741.31	$741.31	$1,023.29