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 $6,165.95 / $10,232.93 / $18,197.01	Facility		$6,165.95	$10,232.93	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $1,698.24	Professional		$346.74	$676.08	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,659.59	Facility		$891.25	$1,047.13	$1,659.59
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 $616.60 / $870.96 / $1,071.52	Professional		$616.60	$870.96	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $5,495.41 / $8,709.64	Facility		$354.81	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $645.65 / $2,630.27	Professional		$354.81	$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 $9,772.37 / $14,454.40 / $14,454.40	Facility		$9,772.37	$14,454.40	$14,454.40
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 $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,570.40	Professional		$1,621.81	$2,041.74	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $1,513.56	Professional		$346.74	$575.44	$1,513.56