Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,445.44 / $14,454.40	Facility		$676.08	$1,445.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $1,778.28	Professional		$630.96	$707.95	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $12,589.25	Facility		$3,981.07	$7,762.47	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,412.54 / $3,467.37	Professional		$691.83	$1,412.54	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,388.44	Facility		$1,819.70	$2,137.96	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,818.38 / $3,235.94	Professional		$851.14	$2,818.38	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,380.38 / $4,168.69	Facility		$660.69	$1,380.38	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,137.96	Professional		$1,258.93	$1,659.59	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,445.44 / $5,754.40	Facility		$660.69	$1,445.44	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,230.27 / $5,128.61	Professional		$524.81	$1,230.27	$5,128.61
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 $1,000.00 / $1,548.82 / $2,344.23	Professional		$1,000.00	$1,548.82	$2,344.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $6,760.83	Facility		$2,454.71	$4,570.88	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,388.44 / $5,128.61	Professional		$1,230.27	$3,388.44	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,890.45 / $4,466.84	Professional		$1,148.15	$3,890.45	$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 $537.03 / $1,000.00 / $2,884.03	Professional		$537.03	$1,000.00	$2,884.03