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 / $602.56	Professional		$257.04	$302.00	$602.56
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 $302.00 / $512.86 / $1,348.96	Professional		$302.00	$512.86	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $794.33 / $1,288.25	Facility		$691.83	$794.33	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $616.60 / $1,122.02	Professional		$295.12	$616.60	$1,122.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $407.38 / $4,365.16	Facility		$269.15	$407.38	$4,365.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,000.00	Professional		$467.74	$588.84	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $426.58 / $14,125.38	Facility		$275.42	$426.58	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $2,089.30	Professional		$288.40	$549.54	$2,089.30
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 / $588.84 / $954.99	Professional		$331.13	$588.84	$954.99
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 / $1,445.44 / $2,137.96	Professional		$295.12	$1,445.44	$2,137.96
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 $724.44 / $1,202.26 / $1,412.54	Professional		$724.44	$1,202.26	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,378.01	Facility		$8,912.51	$13,803.84	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $1,096.48	Professional		$275.42	$426.58	$1,096.48