Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $575.44 / $3,090.30	Facility		$302.00	$575.44	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $707.95	Professional		$275.42	$389.05	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $724.44 / $1,737.80	Professional		$416.87	$724.44	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,905.46	Facility		$1,023.29	$1,202.26	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $891.25 / $1,412.54	Professional		$426.58	$891.25	$1,412.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $575.44 / $4,168.69	Facility		$257.04	$575.44	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,122.02	Professional		$602.56	$812.83	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $758.58 / $8,317.64	Facility		$257.04	$758.58	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $3,388.44	Professional		$426.58	$831.76	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $1,348.96	Professional		$436.52	$851.14	$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 $354.81 / $891.25 / $3,467.37	Professional		$354.81	$891.25	$3,467.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,071.52	Professional		$758.58	$758.58	$1,071.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $1,862.09	Professional		$933.25	$1,348.96	$1,862.09
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 $323.59 / $602.56 / $1,584.89	Professional		$323.59	$602.56	$1,584.89