Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,089.30 / $9,772.37	Facility		$512.86	$2,089.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,698.24	Professional		$512.86	$707.95	$1,698.24
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 $741.31 / $1,445.44 / $3,235.94	Professional		$741.31	$1,445.44	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,801.89	Facility		$2,041.74	$2,398.83	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,348.96 / $2,187.76	Professional		$676.08	$1,348.96	$2,187.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,584.89 / $3,715.35	Facility		$562.34	$1,584.89	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,290.87	Professional		$1,122.02	$1,621.81	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,513.56 / $5,128.61	Facility		$602.56	$1,513.56	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,348.96 / $4,570.88	Professional		$724.44	$1,348.96	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,819.70	Professional		$32.36	$33.11	$1,819.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,570.40	Professional		$1,047.13	$1,698.24	$2,570.40
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 $616.60 / $1,096.48 / $5,623.41	Professional		$616.60	$1,096.48	$5,623.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,570.40 / $3,311.31	Professional		$1,122.02	$2,570.40	$3,311.31
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 $630.96 / $1,023.29 / $2,630.27	Professional		$630.96	$1,023.29	$2,630.27