Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,202.26 / $6,456.54	Facility		$426.58	$1,202.26	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,318.26	Professional		$398.11	$562.34	$1,318.26
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 $562.34 / $870.96 / $2,238.72	Professional		$562.34	$870.96	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $3,090.30	Facility		$1,584.89	$1,819.70	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,479.11 / $2,754.23	Professional		$602.56	$1,479.11	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $707.95 / $4,677.35	Facility		$436.52	$707.95	$4,677.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,621.81	Professional		$812.83	$1,148.15	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $831.76 / $7,762.47	Facility		$436.52	$831.76	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,174.90 / $4,365.16	Professional		$588.84	$1,174.90	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $1,949.84	Professional		$776.25	$1,318.26	$1,949.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,884.03 / $4,265.80	Professional		$776.25	$2,884.03	$4,265.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,754.23 / $3,801.89	Professional		$954.99	$2,754.23	$3,801.89
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 / $794.33 / $2,137.96	Professional		$457.09	$794.33	$2,137.96