Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,698.24 / $14,454.40	Facility		$891.25	$1,698.24	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $2,089.30	Professional		$741.31	$831.76	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,584.89 / $3,715.35	Professional		$794.33	$1,584.89	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,981.07	Facility		$2,137.96	$2,511.89	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,511.89 / $2,818.38	Professional		$1,230.27	$2,511.89	$2,818.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $6,918.31 / $13,489.63	Facility		$891.25	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,511.89	Professional		$1,479.11	$2,041.74	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $7,585.78 / $15,848.93	Facility		$912.01	$7,585.78	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,445.44 / $6,165.95	Professional		$812.83	$1,445.44	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,096.48	Professional		$32.36	$33.11	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,862.09 / $2,570.40	Professional		$954.99	$1,862.09	$2,570.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,964.78 / $10,964.78	Facility		$7,244.36	$10,964.78	$10,964.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,981.07 / $6,025.60	Professional		$1,230.27	$3,981.07	$6,025.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,466.84 / $4,466.84	Professional		$2,137.96	$4,466.84	$4,466.84
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 $758.58 / $1,318.26 / $3,467.37	Professional		$758.58	$1,318.26	$3,467.37