Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,380.38 / $14,454.40	Facility		$562.34	$1,380.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,905.46	Professional		$549.54	$676.08	$1,905.46
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 $645.65 / $1,288.25 / $3,019.95	Professional		$645.65	$1,288.25	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $3,311.31	Facility		$1,778.28	$2,041.74	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,479.11 / $1,995.26	Professional		$660.69	$1,479.11	$1,995.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,949.84 / $5,754.40	Facility		$616.60	$1,949.84	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,089.30	Professional		$1,202.26	$1,659.59	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,995.26 / $11,481.54	Facility		$660.69	$1,995.26	$11,481.54
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility	AS	$1,047.13	$1,047.13	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $3,090.30	Professional		$630.96	$1,000.00	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $891.25	Professional		$32.36	$33.11	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,089.30	Professional		$1,047.13	$1,445.44	$2,089.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $11,220.18 / $11,220.18	Facility		$7,585.78	$11,220.18	$11,220.18
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $758.58 / $758.58 / $1,122.02	Facility	AS	$758.58	$758.58	$1,122.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,230.27 / $4,897.79	Professional		$645.65	$1,230.27	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $3,162.28	Professional		$1,202.26	$2,884.03	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $2,570.40	Professional		$616.60	$954.99	$2,570.40