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 / $14,454.40	Facility		$851.14	$2,089.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $2,570.40	Professional		$851.14	$1,047.13	$2,570.40
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 $1,023.29 / $1,949.84 / $4,570.88	Professional		$1,023.29	$1,949.84	$4,570.88
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 $1,071.52 / $2,238.72 / $3,019.95	Professional		$1,071.52	$2,238.72	$3,019.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,951.21 / $6,918.31	Facility		$933.25	$2,951.21	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,162.28	Professional		$1,819.70	$2,511.89	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,019.95 / $11,481.54	Facility		$954.99	$3,019.95	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,819.70 / $4,265.80	Professional		$977.24	$1,819.70	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $3,162.28	Professional		$1,548.82	$2,137.96	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $11,220.18	Facility		$7,585.78	$7,585.78	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $7,413.10	Professional		$1,023.29	$1,698.24	$7,413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,365.16 / $4,897.79	Professional		$1,819.70	$4,365.16	$4,897.79
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 $977.24 / $1,584.89 / $4,073.80	Professional		$977.24	$1,584.89	$4,073.80