Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,659.59 / $1,659.59	Facility		$724.44	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $724.44	Professional		$213.80	$467.74	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,659.59	Facility		$1,288.25	$1,621.81	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $1,905.46	Professional		$181.97	$181.97	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,090.30	Facility		$1,659.59	$1,949.84	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,513.56 / $1,862.09	Professional		$691.83	$1,513.56	$1,862.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,412.54 / $1,905.46	Facility		$660.69	$1,412.54	$1,905.46
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $3,981.07	Professional		$602.56	$602.56	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $724.44 / $2,089.30	Facility		$537.03	$724.44	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $1,122.02	Professional		$151.36	$181.97	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $602.56	Professional		$50.12	$64.57	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,380.38 / $1,995.26	Professional		$588.84	$1,380.38	$1,995.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,818.38 / $2,818.38	Facility		$1,202.26	$2,818.38	$2,818.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,398.83 / $3,019.95	Professional		$870.96	$2,398.83	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $4,570.88	Professional		$1,737.80	$3,311.31	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $724.44	Facility		$239.88	$239.88	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $602.56	Professional		$131.83	$181.97	$602.56