Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $977.24 / $8,317.64	Facility		$562.34	$977.24	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,288.25	Professional		$446.68	$602.56	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $2,398.83	Professional		$588.84	$891.25	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,019.95	Facility		$1,621.81	$1,905.46	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,445.44 / $2,187.76	Professional		$707.95	$1,445.44	$2,187.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,047.13 / $6,760.83	Facility		$562.34	$1,047.13	$6,760.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,819.70	Professional		$1,000.00	$1,318.26	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,258.93 / $15,135.61	Facility		$562.34	$1,258.93	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,202.26 / $4,570.88	Professional		$645.65	$1,202.26	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,380.38 / $2,137.96	Professional		$691.83	$1,380.38	$2,137.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,584.89 / $4,466.84	Professional		$489.78	$1,584.89	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,754.23 / $3,715.35	Professional		$1,348.96	$2,754.23	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $912.01 / $2,344.23	Professional		$501.19	$912.01	$2,344.23