Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $630.96 / $14,454.40	Facility		$281.84	$630.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $776.25	Professional		$269.15	$323.59	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $17,378.01 / $30,902.95	Facility		$11,481.54	$17,378.01	$30,902.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $588.84 / $1,584.89	Professional		$295.12	$588.84	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $933.25 / $1,584.89	Facility		$794.33	$933.25	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,202.26 / $1,380.38	Professional		$467.74	$1,202.26	$1,380.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $512.86 / $3,981.07	Facility		$281.84	$512.86	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $954.99	Professional		$549.54	$741.31	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $616.60 / $19,498.45	Facility		$281.84	$616.60	$19,498.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $8,317.64	Professional		$316.23	$537.03	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,148.15	Professional		$501.19	$741.31	$1,148.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $77,624.71 / $114,815.36	Facility		$41,686.94	$77,624.71	$114,815.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,445.44 / $8,317.64	Professional		$588.84	$1,445.44	$8,317.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,778.28 / $1,949.84	Professional		$954.99	$1,778.28	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,982.44 / $22,387.21	Facility		$8,709.64	$16,982.44	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $1,258.93	Professional		$295.12	$457.09	$1,258.93