Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,905.46 / $14,454.40	Facility		$912.01	$1,905.46	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $2,137.96	Professional		$870.96	$977.24	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $7,585.78	Facility		$3,311.31	$4,897.79	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $4,570.88	Professional		$912.01	$1,778.28	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $4,365.16	Facility		$2,344.23	$2,754.23	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,715.35 / $4,265.80	Professional		$1,318.26	$3,715.35	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,905.46 / $4,168.69	Facility		$933.25	$1,905.46	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,884.03	Professional		$1,659.59	$2,290.87	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,041.74 / $8,317.64	Facility		$954.99	$2,041.74	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $7,079.46	Professional		$1,047.13	$1,659.59	$7,079.46
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 $1,412.54 / $2,137.96 / $3,235.94	Professional		$1,412.54	$2,137.96	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $17,378.01	Facility		$2,398.83	$2,398.83	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $4,570.88 / $6,918.31	Professional		$1,621.81	$4,570.88	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $6,606.93	Professional		$3,388.44	$5,888.44	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,413.10 / $9,120.11	Facility		$4,786.30	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $3,890.45	Professional		$1,000.00	$1,479.11	$3,890.45