Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,398.83 / $9,332.54	Facility		$537.03	$2,398.83	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,819.70	Professional		$562.34	$794.33	$1,819.70
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 $758.58 / $1,513.56 / $3,388.44	Professional		$758.58	$1,513.56	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,981.07	Facility		$2,137.96	$2,511.89	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,348.96 / $2,398.83	Professional		$724.44	$1,348.96	$2,398.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,584.89 / $4,897.79	Facility		$602.56	$1,584.89	$4,897.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $2,398.83	Professional		$1,174.90	$1,737.80	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,584.89 / $5,128.61	Facility		$645.65	$1,584.89	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,380.38 / $4,786.30	Professional		$758.58	$1,380.38	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,905.46	Professional		$32.36	$33.11	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $2,818.38	Professional		$1,174.90	$1,862.09	$2,818.38
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 $660.69 / $1,148.15 / $5,888.44	Professional		$660.69	$1,148.15	$5,888.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,754.23 / $3,467.37	Professional		$1,202.26	$2,754.23	$3,467.37
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 $660.69 / $1,071.52 / $2,754.23	Professional		$660.69	$1,071.52	$2,754.23