Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,071.52 / $9,549.93	Facility		$323.59	$1,071.52	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $1,737.80	Professional		$323.59	$562.34	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $1,584.89	Professional		$446.68	$724.44	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,630.27	Facility		$1,412.54	$1,659.59	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,230.27 / $2,454.71	Professional		$512.86	$1,230.27	$2,454.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $616.60 / $3,548.13	Facility		$323.59	$616.60	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,445.44	Professional		$602.56	$954.99	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $676.08 / $4,786.30	Facility		$323.59	$676.08	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,000.00 / $3,890.45	Professional		$501.19	$1,000.00	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $1,862.09	Professional		$630.96	$1,096.48	$1,862.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,981.07 / $3,981.07	Facility		$2,754.23	$3,981.07	$3,981.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,511.89 / $3,801.89	Professional		$588.84	$2,511.89	$3,801.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,089.30 / $3,388.44	Professional		$588.84	$2,089.30	$3,388.44
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 $354.81 / $660.69 / $1,778.28	Professional		$354.81	$660.69	$1,778.28