Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $17,782.79	Facility		$218.78	$218.78	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $977.24	Professional		$223.87	$354.81	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,709.64 / $11,220.18	Facility		$4,786.30	$8,709.64	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $691.83 / $1,819.70	Professional		$354.81	$691.83	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $977.24 / $1,548.82	Facility		$831.76	$977.24	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,230.27 / $1,412.54	Professional		$346.74	$1,230.27	$1,412.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $354.81 / $660.69	Facility		$229.09	$354.81	$660.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $660.69 / $1,778.28	Facility		$309.03	$660.69	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $2,818.38	Professional		$338.84	$562.34	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,202.26	Professional		$478.63	$851.14	$1,202.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $6,165.95	Facility		$912.01	$912.01	$6,165.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $2,754.23	Professional		$1,548.82	$2,754.23	$2,754.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $2,187.76	Professional		$1,202.26	$2,041.74	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,258.93	Professional		$338.84	$524.81	$1,258.93