Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $17,782.79	Facility		$741.31	$741.31	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,258.93	Professional		$724.44	$851.14	$1,258.93
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 $870.96 / $1,698.24 / $3,890.45	Professional		$870.96	$1,698.24	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $4,365.16	Facility		$2,344.23	$2,691.53	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,949.84 / $2,884.03	Professional		$891.25	$1,949.84	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,951.21 / $6,918.31	Facility		$831.76	$2,951.21	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $11,481.54	Facility		$831.76	$4,265.80	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $4,168.69	Professional		$831.76	$1,380.38	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,951.21	Professional		$1,479.11	$2,041.74	$2,951.21
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 $891.25 / $1,584.89 / $8,128.31	Professional		$891.25	$1,584.89	$8,128.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $3,235.94	Professional		$812.83	$812.83	$3,235.94
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 $831.76 / $1,258.93 / $3,548.13	Professional		$831.76	$1,258.93	$3,548.13