Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,047.13 / $3,090.30	Facility		$416.87	$1,047.13	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,659.59	Professional		$436.52	$616.60	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,202.26 / $2,630.27	Professional		$602.56	$1,202.26	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $3,162.28	Facility		$1,698.24	$1,949.84	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,071.52 / $1,905.46	Professional		$549.54	$1,071.52	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,318.26 / $3,715.35	Facility		$467.74	$1,318.26	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $1,862.09	Professional		$933.25	$1,348.96	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,230.27 / $5,128.61	Facility		$489.78	$1,230.27	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,071.52 / $3,715.35	Professional		$588.84	$1,071.52	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $2,187.76	Professional		$912.01	$1,445.44	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,623.41 / $5,623.41	Facility		$3,801.89	$5,623.41	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $4,570.88	Professional		$512.86	$870.96	$4,570.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,137.96 / $2,691.53	Professional		$977.24	$2,137.96	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $2,137.96	Professional		$501.19	$831.76	$2,137.96