Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $524.81 / $14,454.40	Facility		$257.04	$524.81	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $1,071.52	Professional		$239.88	$275.42	$1,071.52
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 $257.04 / $489.78 / $1,258.93	Professional		$257.04	$489.78	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $1,230.27	Facility		$645.65	$758.58	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $812.83 / $912.01	Professional		$380.19	$812.83	$912.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $4,677.35 / $9,549.93	Facility		$275.42	$4,677.35	$9,549.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $776.25	Professional		$446.68	$630.96	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $7,585.78 / $15,848.93	Facility		$275.42	$7,585.78	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $562.34 / $7,762.47	Professional		$281.84	$562.34	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $354.81	Professional		$32.36	$33.11	$354.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $977.24	Professional		$295.12	$575.44	$977.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $20,417.38	Facility		$13,803.84	$20,417.38	$20,417.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $4,466.84 / $7,943.28	Professional		$346.74	$4,466.84	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,513.56 / $1,905.46	Professional		$602.56	$1,513.56	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $478.63 / $1,122.02	Professional		$257.04	$478.63	$1,122.02