Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,513.56 / $4,897.79	Facility		$288.40	$1,513.56	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,000.00 / $2,041.74	Professional		$245.47	$1,000.00	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,964.78 / $14,125.38	Facility		$5,623.41	$10,964.78	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,513.56 / $5,248.07	Professional		$398.11	$1,513.56	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $5,888.44	Facility		$3,162.28	$3,630.78	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,905.46 / $4,168.69	Professional		$426.58	$1,905.46	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $6,165.95 / $13,489.63	Facility		$288.40	$6,165.95	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $3,311.31	Professional		$537.03	$812.83	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,318.26 / $2,238.72	Facility		$263.03	$1,318.26	$2,238.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,467.37 / $7,244.36	Professional		$1,584.89	$3,467.37	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $2,041.74	Professional		$32.36	$50.12	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,288.25 / $3,981.07	Professional		$501.19	$1,288.25	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $6,760.83	Facility		$588.84	$588.84	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $4,466.84 / $11,220.18	Professional		$426.58	$4,466.84	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $8,128.31	Professional		$1,230.27	$1,819.70	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,137.96	Facility		$1,023.29	$1,584.89	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,318.26 / $5,248.07	Professional		$316.23	$1,318.26	$5,248.07