Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,778.28 / $14,454.40	Facility		$831.76	$1,778.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $2,238.72	Professional		$776.25	$891.25	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,317.64 / $14,791.08	Facility		$5,128.61	$8,317.64	$14,791.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,659.59 / $4,168.69	Professional		$812.83	$1,659.59	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,570.40 / $4,168.69	Facility		$2,238.72	$2,570.40	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $3,630.78 / $4,073.80	Professional		$1,071.52	$3,630.78	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,737.80 / $5,754.40	Facility		$831.76	$1,737.80	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,691.53	Professional		$1,548.82	$2,089.30	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,778.28 / $15,135.61	Facility		$831.76	$1,778.28	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,445.44 / $6,456.54	Professional		$851.14	$1,445.44	$6,456.54
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 $1,380.38 / $2,041.74 / $3,162.28	Professional		$1,380.38	$2,041.74	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $16,982.44	Facility		$11,220.18	$16,982.44	$16,982.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $4,073.80 / $6,309.57	Professional		$1,513.56	$4,073.80	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $5,128.61 / $5,370.32	Professional		$1,659.59	$5,128.61	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $3,467.37	Professional		$831.76	$1,258.93	$3,467.37