Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,905.46 / $8,709.64	Facility		$660.69	$1,905.46	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $2,754.23	Professional		$691.83	$954.99	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $3,981.07	Professional		$912.01	$1,778.28	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,570.88	Facility		$2,454.71	$2,884.03	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,698.24 / $2,570.40	Professional		$812.83	$1,698.24	$2,570.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,905.46 / $4,897.79	Facility		$724.44	$1,905.46	$4,897.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $2,754.23	Professional		$1,479.11	$2,137.96	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,819.70 / $5,248.07	Facility		$776.25	$1,819.70	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,621.81 / $5,888.44	Professional		$870.96	$1,621.81	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,344.23	Professional		$32.36	$33.11	$2,344.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $3,090.30	Professional		$1,348.96	$2,137.96	$3,090.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,623.41 / $5,623.41	Facility		$3,801.89	$5,623.41	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,412.54 / $6,760.83	Professional		$776.25	$1,412.54	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,388.44 / $4,168.69	Professional		$1,479.11	$3,388.44	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $3,235.94	Professional		$776.25	$1,258.93	$3,235.94