Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,318.26 / $14,454.40	Facility		$616.60	$1,318.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $1,584.89	Professional		$575.44	$630.96	$1,584.89
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 $645.65 / $1,288.25 / $3,162.28	Professional		$645.65	$1,288.25	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,019.95	Facility		$1,621.81	$1,905.46	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,570.40 / $2,884.03	Professional		$851.14	$2,570.40	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,318.26 / $7,244.36	Facility		$630.96	$1,318.26	$7,244.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,949.84	Professional		$1,122.02	$1,513.56	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,380.38 / $15,135.61	Facility		$630.96	$1,380.38	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $5,623.41	Professional		$660.69	$1,202.26	$5,623.41
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 $933.25 / $1,412.54 / $2,137.96	Professional		$933.25	$1,412.54	$2,137.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,365.16 / $4,365.16	Facility		$1,621.81	$4,365.16	$4,365.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $3,090.30 / $5,754.40	Professional		$1,122.02	$3,090.30	$5,754.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $3,981.07	Professional		$1,995.26	$3,548.13	$3,981.07
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 / $2,630.27	Professional		$660.69	$1,000.00	$2,630.27