Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $14,454.40	Facility		$323.59	$512.86	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $1,071.52	Professional		$239.88	$323.59	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $1,445.44	Professional		$257.04	$489.78	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $741.31 / $1,202.26	Facility		$645.65	$741.31	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $794.33 / $891.25	Professional		$436.52	$794.33	$891.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $7,413.10 / $14,454.40	Facility		$295.12	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $776.25	Professional		$537.03	$660.69	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,388.44 / $9,549.93	Facility		$288.40	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $1,445.44	Professional		$323.59	$562.34	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,071.52	Professional		$446.68	$630.96	$1,071.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $3,235.94	Facility		$645.65	$645.65	$3,235.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,258.93 / $1,862.09	Professional		$436.52	$1,258.93	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,041.74	Professional		$1,479.11	$1,737.80	$2,041.74
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 $309.03 / $549.54 / $1,148.15	Professional		$309.03	$549.54	$1,148.15