Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,677.35 / $13,803.84	Facility		$1,548.82	$4,677.35	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $2,630.27	Professional		$346.74	$676.08	$2,630.27
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 $346.74 / $660.69 / $1,698.24	Professional		$346.74	$660.69	$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 / $1,096.48 / $1,258.93	Professional		$524.81	$1,096.48	$1,258.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $4,677.35 / $8,912.51	Facility		$380.19	$4,677.35	$8,912.51
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 $380.19 / $5,495.41 / $8,709.64	Facility		$380.19	$5,495.41	$8,709.64
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	50	$2,511.89	$2,511.89	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $5,011.87	Professional		$363.08	$645.65	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
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 / $5,011.87	Professional		$478.63	$1,737.80	$5,011.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,570.40	Professional		$1,584.89	$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