Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,096.48 / $14,454.40	Facility		$575.44	$1,096.48	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $1,348.96	Professional		$489.78	$588.84	$1,348.96
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 $524.81 / $1,023.29 / $2,398.83	Professional		$524.81	$1,023.29	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,570.40	Facility		$1,380.38	$1,621.81	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,698.24 / $1,949.84	Professional		$758.58	$1,698.24	$1,949.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,677.35 / $8,912.51	Facility		$575.44	$4,677.35	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,659.59	Professional		$954.99	$1,318.26	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $6,918.31 / $12,882.50	Facility		$575.44	$6,918.31	$12,882.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $977.24 / $3,981.07	Professional		$537.03	$977.24	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $707.95	Professional		$32.36	$33.11	$707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,230.27 / $1,698.24	Professional		$630.96	$1,230.27	$1,698.24
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 $724.44 / $2,570.40 / $3,890.45	Professional		$724.44	$2,570.40	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,570.40 / $2,630.27	Professional		$1,479.11	$2,570.40	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,125.38	Facility		$6,606.93	$10,232.93	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $2,290.87	Professional		$512.86	$870.96	$2,290.87