Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $3,090.30 / $14,454.40	Facility		$112.20	$3,090.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $741.31	Professional		$117.49	$181.97	$741.31
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 $162.18 / $338.84 / $977.24	Professional		$162.18	$338.84	$977.24
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 $114.82 / $229.09 / $457.09	Facility		$114.82	$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 / $8,709.64 / $15,848.93	Facility		$208.93	$8,709.64	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $380.19 / $1,230.27	Professional		$173.78	$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 / $588.84 / $831.76	Professional		$331.13	$588.84	$831.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $26,302.68	Facility		$17,782.79	$17,782.79	$26,302.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,778.28 / $1,778.28	Professional		$1,000.00	$1,778.28	$1,778.28
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 $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $354.81 / $954.99	Professional		$165.96	$354.81	$954.99