Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $389.05 / $6,456.54	Facility		$181.97	$389.05	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $645.65	Professional		$169.82	$309.03	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $15,135.61 / $26,302.68	Facility		$7,585.78	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $977.24	Professional		$269.15	$416.87	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,659.59	Facility		$891.25	$1,047.13	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $741.31 / $1,548.82	Professional		$309.03	$741.31	$1,548.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $389.05 / $4,677.35	Facility		$186.21	$389.05	$4,677.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $912.01	Professional		$346.74	$588.84	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $407.38 / $7,762.47	Facility		$186.21	$407.38	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $724.44 / $3,162.28	Professional		$371.54	$724.44	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $1,071.52	Professional		$338.84	$602.56	$1,071.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,952.62 / $19,952.62	Facility		$13,489.63	$19,952.62	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,659.59 / $3,235.94	Professional		$346.74	$1,659.59	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,096.48	Professional		$588.84	$588.84	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $2,137.96	Professional		$758.58	$1,202.26	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $7,413.10 / $9,120.11	Facility		$5,128.61	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $436.52 / $1,174.90	Professional		$213.80	$436.52	$1,174.90