Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $741.31 / $3,090.30	Facility		$346.74	$741.31	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $1,380.38	Professional		$346.74	$501.19	$1,380.38
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 $446.68 / $724.44 / $1,862.09	Professional		$446.68	$724.44	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,454.71	Facility		$1,288.25	$1,513.56	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,348.96 / $2,290.87	Professional		$562.34	$1,348.96	$2,290.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $616.60 / $3,548.13	Facility		$363.08	$616.60	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,348.96	Professional		$660.69	$954.99	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $707.95 / $5,128.61	Facility		$363.08	$707.95	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,000.00 / $3,801.89	Professional		$524.81	$1,000.00	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,778.28	Professional		$691.83	$1,148.15	$1,778.28
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 $645.65 / $2,290.87 / $3,981.07	Professional		$645.65	$2,290.87	$3,981.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,290.87 / $3,162.28	Professional		$660.69	$2,290.87	$3,162.28
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 $416.87 / $691.83 / $1,698.24	Professional		$416.87	$691.83	$1,698.24