Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $812.83 / $14,454.40	Facility		$446.68	$812.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $851.14	Professional		$389.05	$446.68	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $2,041.74	Professional		$416.87	$758.58	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,949.84	Facility		$1,047.13	$1,202.26	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $912.01 / $1,698.24	Professional		$446.68	$912.01	$1,698.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $562.34 / $2,818.38	Facility		$389.05	$562.34	$2,818.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,445.44	Professional		$691.83	$870.96	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $588.84 / $14,125.38	Facility		$407.38	$588.84	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $5,248.07	Professional		$436.52	$741.31	$5,248.07
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 $512.86 / $912.01 / $1,412.54	Professional		$512.86	$912.01	$1,412.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $16,982.44 / $16,982.44	Facility		$11,481.54	$16,982.44	$16,982.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $2,089.30 / $5,248.07	Professional		$436.52	$2,089.30	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,041.74	Professional		$1,318.26	$1,659.59	$2,041.74
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 $407.38 / $602.56 / $1,621.81	Professional		$407.38	$602.56	$1,621.81