Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $794.33 / $3,090.30	Facility		$323.59	$794.33	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $1,023.29	Professional		$331.13	$467.74	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $954.99 / $2,137.96	Professional		$489.78	$954.99	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,454.71	Facility		$1,318.26	$1,548.82	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $831.76 / $1,513.56	Professional		$436.52	$831.76	$1,513.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,023.29 / $3,715.35	Facility		$380.19	$1,023.29	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,479.11	Professional		$707.95	$1,023.29	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,000.00 / $7,762.47	Facility		$407.38	$1,000.00	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $891.25 / $2,884.03	Professional		$478.63	$891.25	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,148.15	Professional		$32.36	$33.11	$1,148.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $1,698.24	Professional		$645.65	$1,096.48	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,760.83 / $6,760.83	Facility		$4,570.88	$6,760.83	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $3,630.78	Professional		$407.38	$676.08	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,621.81 / $2,137.96	Professional		$851.14	$1,621.81	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,737.80	Professional		$407.38	$676.08	$1,737.80