Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $3,162.28	Facility		$724.44	$1,479.11	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,995.26	Professional		$660.69	$831.76	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $3,630.78	Professional		$794.33	$1,445.44	$3,630.78
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 / $2,344.23 / $4,073.80	Professional		$891.25	$2,344.23	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,096.48 / $3,548.13	Facility		$645.65	$1,096.48	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,344.23	Professional		$1,318.26	$1,778.28	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $4,786.30	Facility		$645.65	$1,174.90	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,621.81 / $6,309.57	Professional		$741.31	$1,621.81	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $870.96	Professional		$32.36	$33.11	$870.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $2,884.03	Professional		$1,202.26	$2,041.74	$2,884.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,344.23 / $4,897.79	Facility		$1,258.93	$2,344.23	$4,897.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $6,165.95	Professional		$1,258.93	$4,073.80	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $4,570.88 / $5,495.41	Professional		$1,230.27	$4,570.88	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $3,090.30	Professional		$691.83	$1,148.15	$3,090.30