Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $812.83	Professional		$741.31	$741.31	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $3,801.89	Professional		$1,148.15	$2,290.87	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,995.26 / $3,467.37	Facility		$741.31	$1,995.26	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,202.26	Professional		$741.31	$954.99	$1,202.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $758.58 / $1,348.96	Facility		$741.31	$758.58	$1,348.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $831.76 / $1,905.46	Facility		$812.83	$831.76	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $2,238.72	Professional		$812.83	$812.83	$2,238.72
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 $141.25 / $302.00 / $812.83	Professional		$141.25	$302.00	$812.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,905.46 / $4,265.80	Facility		$741.31	$1,905.46	$4,265.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $4,265.80	Professional		$741.31	$758.58	$4,265.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,230.27	Professional		$1,000.00	$1,000.00	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $1,862.09	Professional		$125.89	$269.15	$1,862.09