Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $17,782.79	Facility		$588.84	$588.84	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $977.24	Professional		$575.44	$891.25	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $17,378.01	Facility		$6,165.95	$10,232.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $3,162.28	Professional		$891.25	$1,258.93	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,951.21	Facility		$1,584.89	$1,862.09	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,584.89 / $1,778.28	Professional		$660.69	$1,584.89	$1,778.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,677.35 / $9,549.93	Facility		$891.25	$4,677.35	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $7,244.36 / $15,848.93	Facility		$912.01	$7,244.36	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,862.09 / $7,079.46	Professional		$870.96	$1,862.09	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $70.79	Professional		$33.11	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $3,388.44	Professional		$1,148.15	$2,398.83	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $16,595.87	Facility		$11,481.54	$11,481.54	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $7,413.10 / $7,413.10	Professional		$3,235.94	$7,413.10	$7,413.10
Security Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,548.82 / $4,466.84	Professional		$851.14	$1,548.82	$4,466.84