Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,548.82	Professional		$1,258.93	$1,288.25	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,288.25 / $1,288.25	Professional		$501.19	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $741.31 / $1,318.26	Facility		$389.05	$741.31	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $741.31 / $1,318.26	Professional		$389.05	$741.31	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,258.93 / $1,318.26	Facility		$316.23	$1,258.93	$1,318.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $549.54 / $977.24	Professional		$109.65	$549.54	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $354.81 / $467.74	Facility		$316.23	$354.81	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,584.89	Professional		$1,288.25	$1,445.44	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $660.69	Professional		$223.87	$389.05	$660.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,862.09	Facility		$1,318.26	$1,318.26	$1,862.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $7,079.46	Professional		$1,318.26	$1,318.26	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $616.60	Professional		$389.05	$501.19	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,548.82	Professional		$1,288.25	$1,380.38	$1,548.82