Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $17,782.79	Facility		$645.65	$645.65	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $851.14	Professional		$489.78	$691.83	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $29,512.09	Facility		$13,803.84	$18,620.87	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $2,818.38	Professional		$676.08	$1,000.00	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,467.37	Facility		$1,862.09	$2,187.76	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $2,570.40	Professional		$676.08	$912.01	$2,570.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $758.58 / $1,023.29	Facility		$588.84	$758.58	$1,023.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,137.96	Professional		$1,000.00	$1,479.11	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $812.83 / $5,754.40	Facility		$616.60	$812.83	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $4,677.35	Professional		$676.08	$1,096.48	$4,677.35
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 $912.01 / $1,698.24 / $2,511.89	Professional		$912.01	$1,698.24	$2,511.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $4,677.35	Facility		$1,348.96	$1,348.96	$4,677.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $2,454.71 / $4,677.35	Professional		$676.08	$2,454.71	$4,677.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $4,677.35	Professional		$1,445.44	$1,698.24	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,897.79 / $19,498.45	Facility		$1,995.26	$4,897.79	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $2,630.27	Professional		$660.69	$954.99	$2,630.27