Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,380.38 / $3,090.30	Facility		$645.65	$1,380.38	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,995.26	Professional		$616.60	$794.33	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,348.96 / $3,890.45	Professional		$831.76	$1,348.96	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $4,168.69	Facility		$2,089.30	$2,454.71	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,344.23 / $3,715.35	Professional		$912.01	$2,344.23	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,148.15 / $3,548.13	Facility		$707.95	$1,148.15	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,454.71	Professional		$1,258.93	$1,698.24	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $13,182.57	Facility		$707.95	$1,318.26	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,737.80 / $5,888.44	Professional		$891.25	$1,737.80	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $977.24	Professional		$32.36	$33.11	$977.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $2,884.03	Professional		$1,096.48	$1,949.84	$2,884.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $11,220.18 / $16,595.87	Facility		$6,025.60	$11,220.18	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $4,073.80 / $5,888.44	Professional		$1,202.26	$4,073.80	$5,888.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $4,265.80 / $5,128.61	Professional		$1,412.54	$4,265.80	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $3,162.28	Professional		$794.33	$1,202.26	$3,162.28