Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,230.27 / $14,454.40	Facility		$645.65	$1,230.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $1,230.27	Professional		$537.03	$645.65	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $5,754.40	Facility		$2,238.72	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,122.02 / $2,884.03	Professional		$562.34	$1,122.02	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,884.03	Facility		$1,548.82	$1,819.70	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,288.25 / $2,511.89	Professional		$616.60	$1,288.25	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $776.25 / $8,128.31	Facility		$562.34	$776.25	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,949.84	Professional		$1,023.29	$1,288.25	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $4,786.30	Facility		$575.44	$812.83	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $977.24 / $4,677.35	Professional		$575.44	$977.24	$4,677.35
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 $776.25 / $1,412.54 / $2,187.76	Professional		$776.25	$1,412.54	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,623.41 / $5,623.41	Facility		$1,584.89	$5,623.41	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $2,818.38 / $4,677.35	Professional		$602.56	$2,818.38	$4,677.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $2,951.21	Professional		$1,778.28	$2,187.76	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $6,456.54	Facility		$2,884.03	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $2,187.76	Professional		$549.54	$812.83	$2,187.76