Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,584.89 / $14,454.40	Facility		$758.58	$1,584.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $2,884.03	Professional		$707.95	$977.24	$2,884.03
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 $758.58 / $1,548.82 / $3,981.07	Professional		$758.58	$1,548.82	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,890.45	Facility		$1,995.26	$2,344.23	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $3,162.28 / $3,548.13	Professional		$977.24	$3,162.28	$3,548.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,548.82 / $6,456.54	Facility		$776.25	$1,548.82	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,398.83	Professional		$1,380.38	$1,862.09	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,584.89 / $15,135.61	Facility		$776.25	$1,584.89	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $5,754.40	Professional		$794.33	$1,380.38	$5,754.40
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 $1,122.02 / $1,698.24 / $2,570.40	Professional		$1,122.02	$1,698.24	$2,570.40
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 $1,380.38 / $3,715.35 / $5,623.41	Professional		$1,380.38	$3,715.35	$5,623.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $4,265.80 / $4,897.79	Professional		$1,905.46	$4,265.80	$4,897.79
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 $776.25 / $1,148.15 / $3,162.28	Professional		$776.25	$1,148.15	$3,162.28