Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Professional		$1,047.13	$1,047.13	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $776.25	Professional		$223.87	$354.81	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $758.58 / $1,071.52	Facility		$398.11	$758.58	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $1,047.13	Professional		$199.53	$309.03	$1,047.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,949.84	Facility		$1,047.13	$1,096.48	$1,949.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $891.25 / $1,621.81	Facility		$870.96	$891.25	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,318.26	Professional		$870.96	$870.96	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $331.13 / $1,047.13	Professional		$141.25	$331.13	$1,047.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,862.09	Facility		$1,047.13	$1,047.13	$1,862.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $4,466.84	Professional		$1,047.13	$1,047.13	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,737.80	Professional		$1,412.54	$1,412.54	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $1,000.00	Professional		$125.89	$263.03	$1,000.00