Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,862.09 / $14,454.40	Facility		$891.25	$1,862.09	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $2,454.71	Professional		$831.76	$933.25	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $15,488.17 / $26,302.68	Facility		$11,481.54	$15,488.17	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,862.09 / $4,786.30	Professional		$891.25	$1,862.09	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $4,677.35	Facility		$2,344.23	$2,754.23	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,715.35 / $4,168.69	Professional		$1,348.96	$3,715.35	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,819.70 / $5,495.41	Facility		$912.01	$1,819.70	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,818.38	Professional		$1,621.81	$2,187.76	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,862.09 / $15,135.61	Facility		$933.25	$1,862.09	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $7,079.46	Professional		$977.24	$1,737.80	$7,079.46
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 $1,348.96 / $2,041.74 / $3,090.30	Professional		$1,348.96	$2,041.74	$3,090.30
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 $1,621.81 / $4,365.16 / $7,413.10	Professional		$1,621.81	$4,365.16	$7,413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $5,011.87 / $5,754.40	Professional		$1,862.09	$5,011.87	$5,754.40
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 $933.25 / $1,412.54 / $3,715.35	Professional		$933.25	$1,412.54	$3,715.35