Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,479.11 / $6,456.54	Facility		$588.84	$1,479.11	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $2,951.21	Professional		$602.56	$870.96	$2,951.21
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 $831.76 / $1,659.59 / $3,715.35	Professional		$831.76	$1,659.59	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,265.80	Facility		$2,290.87	$2,691.53	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,479.11 / $2,570.40	Professional		$776.25	$1,479.11	$2,570.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,698.24 / $4,897.79	Facility		$645.65	$1,698.24	$4,897.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $2,570.40	Professional		$1,288.25	$1,905.46	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,698.24 / $5,128.61	Facility		$707.95	$1,698.24	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,513.56 / $5,248.07	Professional		$831.76	$1,513.56	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,137.96	Professional		$32.36	$33.11	$2,137.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $2,884.03	Professional		$1,202.26	$1,995.26	$2,884.03
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 $724.44 / $1,258.93 / $6,309.57	Professional		$724.44	$1,258.93	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,019.95 / $3,801.89	Professional		$1,318.26	$3,019.95	$3,801.89
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 $707.95 / $1,174.90 / $3,019.95	Professional		$707.95	$1,174.90	$3,019.95