Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,862.09 / $14,454.40	Facility		$912.01	$1,862.09	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $2,238.72	Professional		$831.76	$933.25	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,489.63	Facility		$5,011.87	$8,317.64	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,698.24 / $4,365.16	Professional		$891.25	$1,698.24	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,365.16	Facility		$2,290.87	$2,691.53	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,884.03 / $3,235.94	Professional		$1,288.25	$2,884.03	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $6,918.31 / $13,489.63	Facility		$977.24	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $2,754.23	Professional		$1,584.89	$2,238.72	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,691.53 / $7,943.28	Facility		$977.24	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,584.89 / $6,760.83	Professional		$912.01	$1,584.89	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,202.26	Professional		$32.36	$33.11	$1,202.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $3,467.37	Professional		$1,047.13	$2,041.74	$3,467.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $7,244.36 / $7,244.36	Facility		$2,290.87	$7,244.36	$7,244.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $4,365.16 / $6,606.93	Professional		$1,230.27	$4,365.16	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $6,606.93	Professional		$4,168.69	$5,248.07	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $3,890.45	Professional		$870.96	$1,479.11	$3,890.45