Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,737.80 / $5,888.44	Facility		$389.05	$1,737.80	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,445.44 / $3,235.94	Professional		$371.54	$1,445.44	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $2,137.96 / $6,760.83	Professional		$602.56	$2,137.96	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,248.07 / $8,511.38	Facility		$4,570.88	$5,248.07	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,380.38 / $6,165.95	Professional		$630.96	$1,380.38	$6,165.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,467.37 / $6,918.31	Facility		$446.68	$3,467.37	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $4,786.30	Professional		$831.76	$1,230.27	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $4,073.80 / $8,709.64	Facility		$446.68	$4,073.80	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $8,709.64	Professional		$1,862.09	$3,311.31	$8,709.64
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 $575.44 / $3,801.89 / $11,220.18	Professional		$575.44	$3,801.89	$11,220.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $7,585.78	Facility		$5,128.61	$5,128.61	$7,585.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $2,951.21 / $11,481.54	Professional		$524.81	$2,951.21	$11,481.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $11,481.54	Professional		$1,819.70	$2,951.21	$11,481.54
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 $436.52 / $1,819.70 / $6,606.93	Professional		$436.52	$1,819.70	$6,606.93