Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $616.60 / $14,454.40	Facility		$323.59	$616.60	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $616.60	Professional		$275.42	$331.13	$616.60
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 $295.12 / $575.44 / $1,348.96	Professional		$295.12	$575.44	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $912.01 / $1,445.44	Facility		$776.25	$912.01	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $954.99 / $1,071.52	Professional		$436.52	$954.99	$1,071.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $3,981.07 / $7,413.10	Facility		$323.59	$3,981.07	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $912.01	Professional		$537.03	$741.31	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $5,495.41 / $8,709.64	Facility		$323.59	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $2,238.72	Professional		$302.00	$537.03	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $398.11	Professional		$32.36	$33.11	$398.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $691.83 / $954.99	Professional		$354.81	$691.83	$954.99
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 $407.38 / $1,445.44 / $2,187.76	Professional		$407.38	$1,445.44	$2,187.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,445.44 / $1,445.44	Professional		$524.81	$1,445.44	$1,445.44
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 $288.40 / $489.78 / $1,288.25	Professional		$288.40	$489.78	$1,288.25