Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,621.81 / $14,454.40	Facility		$776.25	$1,621.81	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $2,137.96	Professional		$724.44	$812.83	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,621.81 / $4,168.69	Professional		$776.25	$1,621.81	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $4,073.80	Facility		$2,089.30	$2,398.83	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $3,235.94 / $3,715.35	Professional		$1,023.29	$3,235.94	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,584.89 / $6,918.31	Facility		$794.33	$1,584.89	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,454.71	Professional		$1,412.54	$1,905.46	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,621.81 / $11,481.54	Facility		$794.33	$1,621.81	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,445.44 / $5,888.44	Professional		$812.83	$1,445.44	$5,888.44
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 $1,174.90 / $1,778.28 / $2,754.23	Professional		$1,174.90	$1,778.28	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,801.89 / $5,754.40	Professional		$1,412.54	$3,801.89	$5,754.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $5,011.87	Professional		$2,137.96	$4,365.16	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $3,235.94	Professional		$776.25	$1,174.90	$3,235.94