Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,659.59 / $12,022.64	Facility		$707.95	$1,659.59	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $2,089.30	Professional		$575.44	$851.14	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,584.89 / $3,548.13	Professional		$812.83	$1,584.89	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,570.40 / $4,168.69	Facility		$2,238.72	$2,570.40	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,412.54 / $2,290.87	Professional		$776.25	$1,412.54	$2,290.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,698.24 / $3,715.35	Facility		$676.08	$1,698.24	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,454.71	Professional		$1,258.93	$1,819.70	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,659.59 / $10,964.78	Facility		$707.95	$1,659.59	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,479.11 / $5,128.61	Professional		$851.14	$1,479.11	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,041.74	Professional		$32.36	$33.11	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $2,884.03	Professional		$1,202.26	$1,905.46	$2,884.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $11,220.18 / $11,220.18	Facility		$7,585.78	$11,220.18	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $6,165.95	Professional		$707.95	$1,230.27	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $3,715.35	Professional		$1,513.56	$2,884.03	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $2,951.21	Professional		$724.44	$1,174.90	$2,951.21