Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,380.38 / $1,380.38	Facility		$602.56	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $602.56	Professional		$354.81	$407.38	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,380.38	Facility		$1,071.52	$1,348.96	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $1,778.28	Professional		$169.82	$199.53	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,570.40	Facility		$1,380.38	$1,621.81	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,584.89	Professional		$524.81	$660.69	$1,584.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,000.00 / $2,951.21	Facility		$251.19	$1,000.00	$2,951.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $478.63 / $1,000.00	Facility		$251.19	$478.63	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $912.01	Professional		$251.19	$302.00	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $1,380.38	Professional		$54.95	$64.57	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,148.15 / $1,659.59	Professional		$645.65	$1,148.15	$1,659.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,398.83	Facility		$1,000.00	$1,000.00	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Security Health 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
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $3,548.13	Professional		$1,479.11	$2,754.23	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $407.38 / $602.56	Facility		$251.19	$407.38	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $977.24	Professional		$213.80	$302.00	$977.24