Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $933.25 / $14,454.40	Facility		$426.58	$933.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $1,148.15	Professional		$426.58	$478.63	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $26,302.68	Facility		$11,748.98	$16,218.10	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $467.74 / $2,818.38	Professional		$30.90	$467.74	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,137.96	Facility		$1,148.15	$1,348.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,819.70 / $2,041.74	Professional		$812.83	$1,819.70	$2,041.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $7,413.10 / $14,454.40	Facility		$501.19	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,412.54	Professional		$977.24	$1,202.26	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,388.44 / $9,549.93	Facility		$501.19	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,023.29 / $2,951.21	Professional		$616.60	$1,023.29	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,698.24	Professional		$758.58	$1,202.26	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $5,754.40	Facility		$1,174.90	$1,174.90	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,754.23 / $6,025.60	Professional		$870.96	$2,754.23	$6,025.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,630.27 / $3,467.37	Professional		$1,096.48	$2,630.27	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,000.00 / $2,238.72	Professional		$588.84	$1,000.00	$2,238.72