Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,311.31 / $3,715.35	Facility		$478.63	$3,311.31	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,380.38 / $4,570.88	Professional		$380.19	$1,380.38	$4,570.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $21,877.62	Facility		$9,772.37	$13,182.57	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $2,344.23 / $7,585.78	Professional		$645.65	$2,344.23	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $8,317.64	Facility		$4,466.84	$5,248.07	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,348.96 / $6,025.60	Professional		$691.83	$1,348.96	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $6,165.95 / $13,489.63	Facility		$478.63	$6,165.95	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $4,786.30	Professional		$891.25	$1,288.25	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $8,709.64 / $17,378.01	Facility		$436.52	$8,709.64	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $5,011.87 / $10,715.19	Professional		$2,344.23	$5,011.87	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $3,019.95	Professional		$32.36	$50.12	$3,019.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,778.28 / $5,495.41	Professional		$794.33	$1,778.28	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,199.52 / $30,199.52 / $44,668.36	Facility		$30,199.52	$30,199.52	$44,668.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $6,606.93 / $16,218.10	Professional		$707.95	$6,606.93	$16,218.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,019.95 / $11,748.98	Professional		$1,949.84	$3,019.95	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $2,089.30 / $7,762.47	Professional		$501.19	$2,089.30	$7,762.47