Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,071.52 / $14,454.40	Facility		$512.86	$1,071.52	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $1,318.26	Professional		$478.63	$537.03	$1,318.26
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 $501.19 / $1,000.00 / $2,691.53	Professional		$501.19	$1,000.00	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,570.40	Facility		$1,380.38	$1,621.81	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,137.96 / $2,454.71	Professional		$776.25	$2,137.96	$2,454.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,071.52 / $3,981.07	Facility		$524.81	$1,071.52	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,621.81	Professional		$933.25	$1,258.93	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,122.02 / $11,220.18	Facility		$537.03	$1,122.02	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $4,897.79	Professional		$562.34	$1,000.00	$4,897.79
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 $794.33 / $1,202.26 / $1,819.70	Professional		$794.33	$1,202.26	$1,819.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,912.51 / $8,912.51	Facility		$6,025.60	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,454.71 / $5,128.61	Professional		$954.99	$2,454.71	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $3,311.31	Professional		$1,621.81	$2,884.03	$3,311.31
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 $537.03 / $812.83 / $2,137.96	Professional		$537.03	$812.83	$2,137.96