Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $676.08 / $3,090.30	Facility		$275.42	$676.08	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $1,071.52	Professional		$275.42	$457.09	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $13,182.57	Facility		$5,011.87	$7,943.28	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $912.01 / $1,949.84	Professional		$478.63	$912.01	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,570.40	Facility		$1,380.38	$1,621.81	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $851.14 / $1,548.82	Professional		$398.11	$851.14	$1,548.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $912.01 / $3,715.35	Facility		$309.03	$912.01	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,548.82	Professional		$602.56	$954.99	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $912.01 / $7,762.47	Facility		$331.13	$912.01	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $831.76 / $2,454.71	Professional		$467.74	$831.76	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $912.01	Professional		$32.36	$33.11	$912.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,905.46	Professional		$616.60	$1,047.13	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,760.83 / $6,760.83	Facility		$4,570.88	$6,760.83	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $758.58 / $3,715.35	Professional		$380.19	$758.58	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,000.00	Professional		$602.56	$602.56	$1,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,380.38 / $2,238.72	Professional		$691.83	$1,380.38	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $630.96 / $1,659.59	Professional		$331.13	$630.96	$1,659.59