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 / $645.65 / $1,659.59	Professional		$575.44	$645.65	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,288.25 / $3,162.28	Professional		$616.60	$1,288.25	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,235.94	Facility		$1,659.59	$1,949.84	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,570.40 / $2,951.21	Professional		$812.83	$2,570.40	$2,951.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,288.25 / $3,981.07	Facility		$630.96	$1,288.25	$3,981.07
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 $645.65 / $1,318.26 / $11,220.18	Facility		$645.65	$1,318.26	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $4,677.35	Professional		$630.96	$1,096.48	$4,677.35
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 $954.99 / $1,445.44 / $2,187.76	Professional		$954.99	$1,445.44	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $3,019.95 / $4,677.35	Professional		$1,122.02	$3,019.95	$4,677.35
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 $1,905.46 / $3,467.37 / $3,981.07	Professional		$1,905.46	$3,467.37	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $2,570.40	Professional		$616.60	$933.25	$2,570.40