Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $724.44 / $14,454.40	Facility		$389.05	$724.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $977.24	Professional		$309.03	$354.81	$977.24
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 $316.23 / $691.83 / $1,621.81	Professional		$316.23	$691.83	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,737.80	Facility		$933.25	$1,096.48	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,096.48 / $1,230.27	Professional		$537.03	$1,096.48	$1,230.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,398.83 / $4,786.30	Facility		$389.05	$2,398.83	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,047.13	Professional		$630.96	$870.96	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $5,495.41 / $8,317.64	Facility		$389.05	$5,495.41	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $2,691.53	Professional		$323.59	$549.54	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $812.83 / $1,122.02	Professional		$416.87	$812.83	$1,122.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $9,549.93 / $9,549.93	Facility		$6,456.54	$9,549.93	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,621.81 / $2,570.40	Professional		$537.03	$1,621.81	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,905.46 / $1,949.84	Professional		$812.83	$1,905.46	$1,949.84
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 $295.12 / $501.19 / $1,412.54	Professional		$295.12	$501.19	$1,412.54