Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,819.70 / $14,454.40	Facility		$741.31	$1,819.70	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,819.70	Professional		$741.31	$851.14	$1,819.70
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 $851.14 / $1,698.24 / $3,890.45	Professional		$851.14	$1,698.24	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,265.80	Facility		$2,290.87	$2,691.53	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,995.26 / $2,630.27	Professional		$870.96	$1,995.26	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,570.40 / $4,265.80	Facility		$812.83	$2,570.40	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,754.23	Professional		$1,584.89	$2,187.76	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,630.27 / $8,317.64	Facility		$870.96	$2,630.27	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $4,168.69	Professional		$831.76	$1,318.26	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,174.90	Professional		$32.36	$33.11	$1,174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,818.38	Professional		$1,380.38	$1,949.84	$2,818.38
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 $870.96 / $1,621.81 / $6,456.54	Professional		$870.96	$1,621.81	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,801.89 / $4,168.69	Professional		$1,621.81	$3,801.89	$4,168.69
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 $812.83 / $1,288.25 / $3,388.44	Professional		$812.83	$1,288.25	$3,388.44