Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,951.21	Professional		$2,754.23	$2,754.23	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $380.19	Professional		$109.65	$154.88	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $245.47 / $2,754.23	Facility		$128.82	$245.47	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $2,754.23	Professional		$93.33	$169.82	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $5,128.61	Facility		$2,754.23	$2,884.03	$5,128.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $537.03 / $977.24	Facility		$416.87	$537.03	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $562.34	Professional		$426.58	$524.81	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.57 / $85.11	Professional		$33.11	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $2,754.23	Professional		$141.25	$302.00	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $4,466.84	Facility		$2,754.23	$3,548.13	$4,466.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $11,748.98	Professional		$2,754.23	$2,754.23	$11,748.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,801.89 / $4,570.88	Professional		$3,467.37	$3,801.89	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $3,467.37	Professional		$125.89	$134.90	$3,467.37