Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $691.83 / $14,454.40	Facility		$363.08	$691.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $1,479.11	Professional		$295.12	$363.08	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,232.93 / $18,197.01	Facility		$4,677.35	$10,232.93	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $645.65 / $1,513.56	Professional		$316.23	$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 / $831.76 / $1,023.29	Professional		$588.84	$831.76	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,019.95 / $6,165.95	Facility		$363.08	$3,019.95	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $2,818.38	Professional		$323.59	$575.44	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
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 $851.14 / $4,265.80 / $4,265.80	Facility		$851.14	$4,265.80	$4,265.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,621.81 / $2,818.38	Professional		$501.19	$1,621.81	$2,818.38
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 $851.14 / $1,819.70 / $1,819.70	Professional		$851.14	$1,819.70	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $6,456.54	Facility		$2,754.23	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $537.03 / $1,412.54	Professional		$309.03	$537.03	$1,412.54