Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,862.09 / $14,454.40	Facility		$891.25	$1,862.09	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $2,454.71	Professional		$831.76	$933.25	$2,454.71
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 $891.25 / $1,862.09 / $4,897.79	Professional		$891.25	$1,862.09	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $4,570.88	Facility		$2,344.23	$2,754.23	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,715.35 / $4,168.69	Professional		$1,148.15	$3,715.35	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,862.09 / $9,772.37	Facility		$912.01	$1,862.09	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,818.38	Professional		$1,621.81	$2,187.76	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,949.84 / $15,135.61	Facility		$912.01	$1,949.84	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,584.89 / $8,317.64	Professional		$912.01	$1,584.89	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $3,019.95	Professional		$1,318.26	$1,995.26	$3,019.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $11,220.18 / $16,595.87	Facility		$6,025.60	$11,220.18	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $4,365.16 / $8,317.64	Professional		$1,621.81	$4,365.16	$8,317.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,011.87 / $5,754.40	Professional		$2,951.21	$5,011.87	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $3,715.35	Professional		$891.25	$1,348.96	$3,715.35