Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $575.44 / $1,905.46	Facility		$269.15	$575.44	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $691.83	Professional		$251.19	$309.03	$691.83
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 $288.40 / $524.81 / $1,412.54	Professional		$288.40	$524.81	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,659.59	Facility		$851.14	$1,000.00	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,000.00 / $1,479.11	Professional		$346.74	$1,000.00	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $3,162.28	Facility		$275.42	$446.68	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $891.25	Professional		$501.19	$691.83	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $489.78 / $7,943.28	Facility		$275.42	$489.78	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $575.44 / $2,344.23	Professional		$269.15	$575.44	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,148.15	Professional		$501.19	$812.83	$1,148.15
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 $501.19 / $1,445.44 / $2,344.23	Professional		$501.19	$1,445.44	$2,344.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,000.00	Professional		$891.25	$891.25	$1,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,778.28 / $2,041.74	Professional		$851.14	$1,778.28	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $1,148.15	Professional		$251.19	$416.87	$1,148.15