Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,737.80 / $14,454.40	Facility		$933.25	$1,737.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,698.24	Professional		$776.25	$933.25	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,621.81 / $4,168.69	Professional		$812.83	$1,621.81	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $4,168.69	Facility		$2,238.72	$2,630.27	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,778.28 / $3,548.13	Professional		$851.14	$1,778.28	$3,548.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $6,025.60	Facility		$794.33	$1,071.52	$6,025.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,691.53	Professional		$1,479.11	$1,862.09	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $13,182.57	Facility		$812.83	$1,148.15	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,513.56 / $9,120.11	Professional		$851.14	$1,513.56	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $2,818.38	Professional		$1,000.00	$1,819.70	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $3,981.07 / $9,120.11	Professional		$851.14	$3,981.07	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $4,265.80	Professional		$2,630.27	$3,311.31	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $3,090.30	Professional		$794.33	$1,202.26	$3,090.30