Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,348.96 / $14,454.40	Facility		$616.60	$1,348.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $1,905.46	Professional		$602.56	$691.83	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,709.64 / $11,220.18	Facility		$4,786.30	$8,709.64	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,258.93 / $3,235.94	Professional		$676.08	$1,258.93	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $3,162.28	Facility		$1,698.24	$1,995.26	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,570.40 / $2,951.21	Professional		$954.99	$2,570.40	$2,951.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,096.48 / $3,981.07	Facility		$616.60	$1,096.48	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,041.74	Professional		$1,174.90	$1,584.89	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,096.48 / $1,778.28	Facility		$616.60	$1,096.48	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $5,011.87	Professional		$724.44	$1,230.27	$5,011.87
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 $912.01 / $1,412.54 / $2,089.30	Professional		$912.01	$1,412.54	$2,089.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,168.69 / $4,168.69	Facility		$1,698.24	$4,168.69	$4,168.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $3,311.31 / $4,897.79	Professional		$1,258.93	$3,311.31	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $4,265.80	Professional		$1,995.26	$3,801.89	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,137.96	Facility		$1,023.29	$1,584.89	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $2,818.38	Professional		$691.83	$1,047.13	$2,818.38