Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,949.84 / $14,454.40	Facility		$954.99	$1,949.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $2,398.83	Professional		$870.96	$977.24	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,995.26 / $4,786.30	Professional		$912.01	$1,995.26	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,951.21 / $4,786.30	Facility		$2,570.40	$2,951.21	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $4,897.79	Professional		$1,778.28	$4,365.16	$4,897.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,819.70 / $5,495.41	Facility		$954.99	$1,819.70	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,951.21	Professional		$1,698.24	$2,290.87	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,949.84 / $11,220.18	Facility		$977.24	$1,949.84	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,659.59 / $7,079.46	Professional		$933.25	$1,659.59	$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 $1,479.11 / $2,238.72 / $3,388.44	Professional		$1,479.11	$2,238.72	$3,388.44
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 $4,570.88 / $6,918.31 / $6,918.31	Professional		$4,570.88	$6,918.31	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,370.32 / $6,165.95	Professional		$2,691.53	$5,370.32	$6,165.95
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 $912.01 / $1,380.38 / $3,801.89	Professional		$912.01	$1,380.38	$3,801.89