Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,412.54 / $14,454.40	Facility		$676.08	$1,412.54	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $1,737.80	Professional		$630.96	$691.83	$1,737.80
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 $676.08 / $1,412.54 / $3,388.44	Professional		$676.08	$1,412.54	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,311.31	Facility		$1,778.28	$2,089.30	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,818.38 / $3,162.28	Professional		$954.99	$2,818.38	$3,162.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,412.54 / $7,244.36	Facility		$691.83	$1,412.54	$7,244.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,137.96	Professional		$1,230.27	$1,659.59	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,479.11 / $15,135.61	Facility		$691.83	$1,479.11	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,202.26 / $6,025.60	Professional		$676.08	$1,202.26	$6,025.60
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 $1,000.00 / $1,513.56 / $2,290.87	Professional		$1,000.00	$1,513.56	$2,290.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $13,803.84 / $13,803.84	Facility		$9,120.11	$13,803.84	$13,803.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,162.28 / $6,025.60	Professional		$1,230.27	$3,162.28	$6,025.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,801.89 / $4,365.16	Professional		$2,238.72	$3,801.89	$4,365.16
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 $660.69 / $1,000.00 / $2,691.53	Professional		$660.69	$1,000.00	$2,691.53