Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,202.26 / $14,454.40	Facility		$575.44	$1,202.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $1,479.11	Professional		$537.03	$602.56	$1,479.11
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 $575.44 / $1,202.26 / $3,090.30	Professional		$575.44	$1,202.26	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $3,019.95	Facility		$1,548.82	$1,819.70	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,398.83 / $2,754.23	Professional		$776.25	$2,398.83	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,202.26 / $3,981.07	Facility		$588.84	$1,202.26	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,819.70	Professional		$1,047.13	$1,412.54	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,230.27 / $11,220.18	Facility		$602.56	$1,230.27	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,096.48 / $6,456.54	Professional		$588.84	$1,096.48	$6,456.54
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 $891.25 / $1,348.96 / $2,041.74	Professional		$891.25	$1,348.96	$2,041.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $11,481.54	Facility		$4,073.80	$7,762.47	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,818.38 / $6,606.93	Professional		$1,071.52	$2,818.38	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $3,715.35	Professional		$1,621.81	$3,235.94	$3,715.35
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 $575.44 / $891.25 / $2,398.83	Professional		$575.44	$891.25	$2,398.83