Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,584.89 / $3,311.31	Facility		$741.31	$1,584.89	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $2,089.30	Professional		$707.95	$870.96	$2,089.30
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 $831.76 / $1,548.82 / $3,715.35	Professional		$831.76	$1,548.82	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $4,365.16	Facility		$2,344.23	$2,754.23	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,630.27 / $3,890.45	Professional		$1,000.00	$2,630.27	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $3,548.13	Facility		$758.58	$1,174.90	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,570.40	Professional		$1,412.54	$1,949.84	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,258.93 / $5,128.61	Facility		$758.58	$1,258.93	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $6,606.93	Professional		$870.96	$1,698.24	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $3,311.31	Professional		$1,348.96	$2,290.87	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,912.51 / $8,912.51	Facility		$6,025.60	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $4,168.69 / $6,606.93	Professional		$1,380.38	$4,168.69	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $4,897.79 / $5,623.41	Professional		$1,584.89	$4,897.79	$5,623.41
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 $812.83 / $1,230.27 / $3,311.31	Professional		$812.83	$1,230.27	$3,311.31