Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $891.25 / $14,454.40	Facility		$467.74	$891.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $1,096.48	Professional		$398.11	$478.63	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $1,949.84	Professional		$426.58	$831.76	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,089.30	Facility		$1,122.02	$1,318.26	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,380.38 / $1,584.89	Professional		$616.60	$1,380.38	$1,584.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $4,677.35 / $8,912.51	Facility		$478.63	$4,677.35	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,348.96	Professional		$776.25	$1,071.52	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $6,918.31 / $13,803.84	Facility		$478.63	$6,918.31	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $3,235.94	Professional		$436.52	$758.58	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,000.00 / $1,380.38	Professional		$512.86	$1,000.00	$1,380.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $17,782.79 / $17,782.79	Facility		$12,302.69	$17,782.79	$17,782.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,089.30 / $3,162.28	Professional		$588.84	$2,089.30	$3,162.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $2,089.30	Professional		$1,318.26	$2,089.30	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $1,862.09	Professional		$407.38	$691.83	$1,862.09