Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $933.25 / $14,454.40	Facility		$446.68	$933.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $1,445.44	Professional		$416.87	$489.78	$1,445.44
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 $457.09 / $870.96 / $2,344.23	Professional		$457.09	$870.96	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,344.23	Facility		$1,174.90	$1,380.38	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,862.09 / $2,137.96	Professional		$575.44	$1,862.09	$2,137.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $933.25 / $5,754.40	Facility		$457.09	$933.25	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,412.54	Professional		$812.83	$1,096.48	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $977.24 / $8,317.64	Facility		$457.09	$977.24	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $3,388.44	Professional		$467.74	$794.33	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,548.82	Professional		$660.69	$1,000.00	$1,548.82
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 $812.83 / $2,187.76 / $3,311.31	Professional		$812.83	$2,187.76	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,511.89 / $2,884.03	Professional		$1,318.26	$2,511.89	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,862.09	Professional		$457.09	$691.83	$1,862.09