Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,089.30 / $2,884.03	Facility		$851.14	$2,089.30	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $3,467.37	Professional		$707.95	$1,047.13	$3,467.37
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 $977.24 / $1,905.46 / $4,265.80	Professional		$977.24	$1,905.46	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $4,897.79	Facility		$2,630.27	$3,090.30	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $2,951.21	Professional		$933.25	$1,819.70	$2,951.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,995.26 / $4,897.79	Facility		$758.58	$1,995.26	$4,897.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $2,951.21	Professional		$1,513.56	$2,187.76	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,995.26 / $5,248.07	Facility		$851.14	$1,995.26	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,819.70 / $6,025.60	Professional		$954.99	$1,819.70	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,454.71	Professional		$32.36	$33.11	$2,454.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $3,311.31	Professional		$1,348.96	$2,238.72	$3,311.31
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 $831.76 / $1,479.11 / $7,244.36	Professional		$831.76	$1,479.11	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,467.37 / $4,365.16	Professional		$1,778.28	$3,467.37	$4,365.16
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 $831.76 / $1,348.96 / $3,467.37	Professional		$831.76	$1,348.96	$3,467.37