Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $17,782.79	Facility		$489.78	$489.78	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,174.90	Professional		$489.78	$794.33	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $12,882.50 / $21,877.62	Facility		$9,549.93	$12,882.50	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $3,981.07	Professional		$912.01	$1,288.25	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $1,949.84	Professional		$1,698.24	$1,949.84	$1,949.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $954.99 / $1,659.59	Facility		$489.78	$954.99	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $7,585.78 / $13,803.84	Facility		$954.99	$7,585.78	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $5,248.07	Professional		$1,047.13	$2,137.96	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $3,630.78	Professional		$1,412.54	$2,570.40	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $14,791.08	Facility		$10,000.00	$10,000.00	$14,791.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $6,456.54 / $6,456.54	Professional		$2,238.72	$6,456.54	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,949.84 / $4,265.80	Professional		$1,047.13	$1,949.84	$4,265.80