Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,698.24 / $8,912.51	Facility		$602.56	$1,698.24	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $776.25	Professional		$213.80	$467.74	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $13,803.84 / $30,199.52	Facility		$3,162.28	$13,803.84	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $954.99 / $2,041.74	Professional		$501.19	$954.99	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,584.89 / $1,778.28	Professional		$758.58	$1,584.89	$1,778.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,630.27 / $5,128.61	Facility		$616.60	$2,630.27	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,202.26 / $2,041.74	Facility		$575.44	$1,202.26	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $1,737.80	Professional		$660.69	$1,202.26	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $3,162.28	Facility		$1,348.96	$1,348.96	$3,162.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $2,344.23 / $3,890.45	Professional		$758.58	$2,344.23	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $630.96	Professional		$501.19	$602.56	$630.96