Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $1,698.24	Facility		$575.44	$851.14	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $2,511.89	Professional		$562.34	$724.44	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,258.93	Facility		$707.95	$707.95	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $724.44	Professional		$562.34	$562.34	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,412.54 / $2,454.71	Facility		$562.34	$1,412.54	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,047.13	Professional		$575.44	$724.44	$1,047.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,412.54	Facility		$630.96	$630.96	$1,412.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,258.93	Professional		$954.99	$1,258.93	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,174.90	Facility		$524.81	$524.81	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,258.93	Professional		$524.81	$524.81	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $524.81 / $630.96	Professional		$64.57	$524.81	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,905.46	Professional		$562.34	$660.69	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $3,467.37	Facility		$562.34	$562.34	$3,467.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,096.48	Professional		$891.25	$891.25	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $660.69	Facility		$562.34	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $912.01	Professional		$562.34	$562.34	$912.01