Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $660.69 / $14,454.40	Facility		$354.81	$660.69	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $724.44	Professional		$302.00	$363.08	$724.44
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 $323.59 / $616.60 / $1,621.81	Professional		$323.59	$616.60	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $954.99 / $1,513.56	Facility		$812.83	$954.99	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $724.44 / $1,348.96	Professional		$354.81	$724.44	$1,348.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $457.09 / $4,365.16	Facility		$323.59	$457.09	$4,365.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,071.52	Professional		$562.34	$707.95	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $501.19 / $10,471.29	Facility		$323.59	$501.19	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $660.69 / $2,454.71	Professional		$346.74	$660.69	$2,454.71
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 $389.05 / $707.95 / $1,096.48	Professional		$389.05	$707.95	$1,096.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $12,022.64 / $12,022.64	Facility		$8,128.31	$12,022.64	$12,022.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,698.24 / $2,511.89	Professional		$346.74	$1,698.24	$2,511.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $1,659.59	Professional		$891.25	$1,412.54	$1,659.59
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 $323.59 / $512.86 / $1,258.93	Professional		$323.59	$512.86	$1,258.93