Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,318.26 / $14,454.40	Facility		$630.96	$1,318.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $660.69 / $1,621.81	Professional		$588.84	$660.69	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $28,840.32	Facility		$11,220.18	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,230.27 / $3,311.31	Professional		$616.60	$1,230.27	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,311.31	Facility		$1,659.59	$1,949.84	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,630.27 / $2,951.21	Professional		$831.76	$2,630.27	$2,951.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,288.25 / $6,918.31	Facility		$645.65	$1,288.25	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $1,995.26	Professional		$1,148.15	$1,548.82	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,318.26 / $15,135.61	Facility		$660.69	$1,318.26	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,122.02 / $4,786.30	Professional		$645.65	$1,122.02	$4,786.30
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 $19,054.61 / $35,481.34 / $52,480.75	Facility		$19,054.61	$35,481.34	$52,480.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,019.95 / $4,677.35	Professional		$1,148.15	$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 $1,548.82 / $3,548.13 / $4,073.80	Professional		$1,548.82	$3,548.13	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $2,630.27	Professional		$630.96	$954.99	$2,630.27