Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $17,782.79	Facility		$407.38	$407.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $588.84	Professional		$295.12	$407.38	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $20,417.38	Facility		$9,120.11	$12,882.50	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $1,819.70	Professional		$323.59	$616.60	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $891.25 / $1,412.54	Facility		$758.58	$891.25	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $1,071.52	Professional		$562.34	$933.25	$1,071.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $7,413.10 / $14,454.40	Facility		$354.81	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $3,388.44 / $9,549.93	Facility		$354.81	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $1,513.56	Professional		$323.59	$549.54	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $363.08	Professional		$32.36	$54.95	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $977.24	Professional		$446.68	$676.08	$977.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $2,754.23	Facility		$741.31	$741.31	$2,754.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $3,715.35 / $4,897.79	Professional		$562.34	$3,715.35	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $2,137.96	Professional		$1,412.54	$2,089.30	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $1,230.27	Professional		$302.00	$537.03	$1,230.27