Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,023.29 / $1,023.29	Facility		$446.68	$1,023.29	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $446.68	Professional		$263.03	$309.03	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $1,318.26	Professional		$128.82	$151.36	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,905.46	Facility		$1,023.29	$1,202.26	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $1,174.90	Professional		$389.05	$501.19	$1,174.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,548.82 / $2,187.76	Facility		$380.19	$1,548.82	$2,187.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,511.89	Professional		$2,238.72	$2,238.72	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $501.19 / $1,318.26	Facility		$338.84	$501.19	$1,318.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $1,862.09	Professional		$169.82	$223.87	$1,862.09
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 $602.56 / $891.25 / $1,230.27	Professional		$602.56	$891.25	$1,230.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,778.28 / $1,778.28	Facility		$758.58	$1,778.28	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,862.09 / $1,862.09	Professional		$549.54	$1,862.09	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $2,884.03	Professional		$1,096.48	$2,041.74	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $616.60	Professional		$158.49	$223.87	$616.60