Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $562.34 / $14,454.40	Facility		$302.00	$562.34	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $588.84	Professional		$257.04	$302.00	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $1,348.96	Professional		$309.03	$512.86	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $812.83 / $1,288.25	Facility		$691.83	$812.83	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $616.60 / $1,122.02	Professional		$302.00	$616.60	$1,122.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $389.05 / $3,467.37	Facility		$269.15	$389.05	$3,467.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,023.29	Professional		$467.74	$588.84	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $10,964.78	Facility		$275.42	$416.87	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $2,041.74	Professional		$288.40	$549.54	$2,041.74
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 $331.13 / $602.56 / $977.24	Professional		$331.13	$602.56	$977.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $17,782.79 / $17,782.79	Facility		$12,302.69	$17,782.79	$17,782.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,412.54 / $2,041.74	Professional		$295.12	$1,412.54	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,412.54	Professional		$954.99	$1,174.90	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $1,071.52	Professional		$269.15	$426.58	$1,071.52