Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,905.46 / $6,456.54	Facility		$645.65	$1,905.46	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $3,548.13	Professional		$660.69	$977.24	$3,548.13
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 $912.01 / $1,737.80 / $3,981.07	Professional		$912.01	$1,737.80	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,570.88	Facility		$2,454.71	$2,884.03	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,659.59 / $2,511.89	Professional		$870.96	$1,659.59	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,905.46 / $4,897.79	Facility		$741.31	$1,905.46	$4,897.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,754.23	Professional		$1,412.54	$2,041.74	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,819.70 / $5,248.07	Facility		$776.25	$1,819.70	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,698.24 / $5,754.40	Professional		$912.01	$1,698.24	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,290.87	Professional		$32.36	$33.11	$2,290.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $3,019.95	Professional		$1,258.93	$2,089.30	$3,019.95
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 $776.25 / $1,380.38 / $6,760.83	Professional		$776.25	$1,380.38	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $4,073.80	Professional		$1,621.81	$3,235.94	$4,073.80
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 $776.25 / $1,258.93 / $3,235.94	Professional		$776.25	$1,258.93	$3,235.94