Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $17,782.79	Facility		$123.03	$123.03	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $645.65	Professional		$128.82	$199.53	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $389.05 / $1,096.48	Professional		$190.55	$389.05	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $691.83 / $1,122.02	Facility		$602.56	$691.83	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $891.25 / $1,000.00	Professional		$251.19	$891.25	$1,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $229.09 / $457.09	Facility		$123.03	$229.09	$457.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $8,317.64 / $15,848.93	Facility		$208.93	$8,317.64	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $1,230.27	Professional		$208.93	$380.19	$1,230.27
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 $331.13 / $602.56 / $851.14	Professional		$331.13	$602.56	$851.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $8,128.31	Facility		$5,495.41	$5,495.41	$8,128.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $1,819.70	Professional		$1,023.29	$1,819.70	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,778.28	Professional		$1,318.26	$1,318.26	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $12,022.64 / $16,218.10	Facility		$6,918.31	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $954.99	Professional		$204.17	$331.13	$954.99