Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,754.23 / $9,120.11	Facility		$851.14	$2,754.23	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $3,630.78	Professional		$741.31	$1,096.48	$3,630.78
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 / $4,365.16	Professional		$977.24	$1,905.46	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $5,011.87	Facility		$2,691.53	$3,090.30	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,862.09 / $2,754.23	Professional		$870.96	$1,862.09	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,041.74 / $3,715.35	Facility		$831.76	$2,041.74	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $2,951.21	Professional		$1,548.82	$2,238.72	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,995.26 / $5,248.07	Facility		$831.76	$1,995.26	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,819.70 / $6,309.57	Professional		$954.99	$1,819.70	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,511.89	Professional		$32.36	$33.11	$2,511.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $3,311.31	Professional		$1,412.54	$2,290.87	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,888.44 / $5,888.44	Facility		$3,801.89	$5,888.44	$5,888.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,513.56 / $7,244.36	Professional		$831.76	$1,513.56	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $4,466.84	Professional		$1,778.28	$3,630.78	$4,466.84
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 $851.14 / $1,348.96 / $3,548.13	Professional		$851.14	$1,348.96	$3,548.13