Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $15,135.61	Facility		$2,630.27	$8,317.64	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $4,073.80	Professional		$691.83	$1,071.52	$4,073.80
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 $707.95 / $1,380.38 / $3,630.78	Professional		$707.95	$1,380.38	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,467.37	Facility		$1,862.09	$2,187.76	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,290.87 / $2,630.27	Professional		$1,047.13	$2,290.87	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,466.84 / $8,912.51	Facility		$794.33	$4,466.84	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,238.72	Professional		$1,288.25	$1,778.28	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $8,317.64 / $15,848.93	Facility		$794.33	$8,317.64	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,412.54 / $5,370.32	Professional		$758.58	$1,412.54	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,318.26 / $2,290.87	Professional		$676.08	$1,318.26	$2,290.87
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 Facility Modifier 52 Low / Median / High Price $7,762.47 / $7,762.47 / $11,481.54	Facility	52	$7,762.47	$7,762.47	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $3,801.89 / $5,248.07	Professional		$977.24	$3,801.89	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,265.80 / $5,623.41	Professional		$2,818.38	$4,265.80	$5,623.41
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 $724.44 / $1,230.27 / $3,162.28	Professional		$724.44	$1,230.27	$3,162.28