Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,862.09 / $14,454.40	Facility		$870.96	$1,862.09	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $2,398.83	Professional		$831.76	$912.01	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,819.70 / $4,365.16	Professional		$870.96	$1,819.70	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $4,365.16	Facility		$2,344.23	$2,754.23	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,630.78 / $4,168.69	Professional		$1,318.26	$3,630.78	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,778.28 / $5,495.41	Facility		$870.96	$1,778.28	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,754.23	Professional		$1,621.81	$2,137.96	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,862.09 / $13,182.57	Facility		$891.25	$1,862.09	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,698.24 / $6,760.83	Professional		$954.99	$1,698.24	$6,760.83
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 $1,318.26 / $2,041.74 / $3,090.30	Professional		$1,318.26	$2,041.74	$3,090.30
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 $1,584.89 / $4,265.80 / $6,760.83	Professional		$1,584.89	$4,265.80	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,011.87 / $5,754.40	Professional		$2,570.40	$5,011.87	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $3,630.78	Professional		$891.25	$1,380.38	$3,630.78