Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $676.08 / $14,454.40	Facility		$363.08	$676.08	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $812.83	Professional		$295.12	$346.74	$812.83
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 $309.03 / $645.65 / $1,513.56	Professional		$309.03	$645.65	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,621.81	Facility		$870.96	$1,023.29	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,023.29 / $1,148.15	Professional		$501.19	$1,023.29	$1,148.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,801.89 / $7,413.10	Facility		$363.08	$3,801.89	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $977.24	Professional		$588.84	$812.83	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $5,495.41 / $8,317.64	Facility		$363.08	$5,495.41	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $537.03 / $2,511.89	Professional		$309.03	$537.03	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $1,047.13	Professional		$389.05	$758.58	$1,047.13
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 $501.19 / $1,548.82 / $2,398.83	Professional		$501.19	$1,548.82	$2,398.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,778.28 / $1,819.70	Professional		$794.33	$1,778.28	$1,819.70
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 / $1,380.38	Professional		$295.12	$501.19	$1,380.38