Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,951.21	Professional		$2,089.30	$2,089.30	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,137.96 / $2,137.96	Professional		$588.84	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,737.80 / $2,238.72	Facility		$831.76	$1,737.80	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,122.02	Professional		$630.96	$977.24	$1,122.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,230.27 / $2,570.40	Facility		$575.44	$1,230.27	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,089.30 / $2,570.40	Facility		$575.44	$2,089.30	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $3,235.94	Professional		$2,137.96	$2,137.96	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $85.11	Professional		$50.12	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,380.38 / $2,041.74	Professional		$741.31	$1,380.38	$2,041.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $11,481.54	Facility		$2,187.76	$2,187.76	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,949.84	Professional		$1,047.13	$1,047.13	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $3,388.44	Professional		$2,137.96	$2,290.87	$3,388.44