Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $724.44 / $14,454.40	Facility		$354.81	$724.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $870.96	Professional		$331.13	$363.08	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,762.47 / $12,589.25	Facility		$3,162.28	$7,762.47	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $676.08 / $1,621.81	Professional		$354.81	$676.08	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,698.24	Facility		$912.01	$1,047.13	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,122.02 / $1,258.93	Professional		$524.81	$1,122.02	$1,258.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,454.71 / $4,786.30	Facility		$354.81	$2,454.71	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,071.52	Professional		$630.96	$870.96	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,691.53 / $4,786.30	Facility		$331.13	$2,691.53	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $2,630.27	Professional		$363.08	$645.65	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $794.33 / $1,348.96	Professional		$407.38	$794.33	$1,348.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $9,332.54 / $9,332.54	Facility		$6,309.57	$9,332.54	$9,332.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,737.80 / $2,570.40	Professional		$478.63	$1,737.80	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,630.27	Professional		$1,659.59	$2,089.30	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $5,011.87	Facility		$2,344.23	$2,884.03	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $1,513.56	Professional		$346.74	$575.44	$1,513.56