Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $489.78 / $14,454.40	Facility		$239.88	$489.78	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $588.84	Professional		$218.78	$245.47	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $1,148.15	Professional		$234.42	$446.68	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $707.95 / $1,122.02	Facility		$602.56	$707.95	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $741.31 / $851.14	Professional		$354.81	$741.31	$851.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $4,677.35 / $8,912.51	Facility		$257.04	$4,677.35	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $724.44	Professional		$416.87	$588.84	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $5,495.41 / $8,709.64	Facility		$257.04	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $1,778.28	Professional		$239.88	$426.58	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $537.03 / $912.01	Professional		$275.42	$537.03	$912.01
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 $323.59 / $1,174.90 / $1,737.80	Professional		$323.59	$1,174.90	$1,737.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,737.80	Professional		$1,096.48	$1,380.38	$1,737.80
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 $234.42 / $389.05 / $1,023.29	Professional		$234.42	$389.05	$1,023.29