Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,258.93	Professional		$1,202.26	$1,230.27	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $741.31 / $1,258.93	Facility		$389.05	$741.31	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $1,258.93	Professional		$295.12	$489.78	$1,258.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,202.26 / $1,778.28	Facility		$288.40	$1,202.26	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,202.26 / $1,819.70	Facility		$288.40	$1,202.26	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $5,623.41	Professional		$1,258.93	$1,258.93	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $70.79	Professional		$32.36	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $4,466.84	Facility		$1,258.93	$1,258.93	$4,466.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $6,760.83	Professional		$1,258.93	$1,258.93	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $478.63	Professional		$389.05	$389.05	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,412.54	Professional		$1,258.93	$1,258.93	$1,412.54