Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,659.59 / $14,454.40	Facility		$891.25	$1,659.59	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $2,041.74	Professional		$724.44	$831.76	$2,041.74
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 $776.25 / $1,584.89 / $3,715.35	Professional		$776.25	$1,584.89	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $3,981.07	Facility		$2,137.96	$2,454.71	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,454.71 / $2,818.38	Professional		$1,230.27	$2,454.71	$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 $1,445.44 / $1,995.26 / $2,511.89	Professional		$1,445.44	$1,995.26	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $7,079.46 / $12,589.25	Facility		$891.25	$7,079.46	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $7,943.28	Professional		$794.33	$1,445.44	$7,943.28
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 / $4,570.88 / $7,943.28	Professional		$1,230.27	$4,570.88	$7,943.28
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 / $5,128.61	Professional		$2,137.96	$4,466.84	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $13,182.57	Facility		$6,606.93	$10,232.93	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $3,467.37	Professional		$776.25	$1,318.26	$3,467.37