Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $8,317.64	Facility		$676.08	$977.24	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,071.52	Professional		$436.52	$645.65	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $2,344.23	Professional		$616.60	$870.96	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $933.25 / $1,318.26 / $3,548.13	Professional	50	$933.25	$1,318.26	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $3,235.94	Facility		$1,737.80	$2,041.74	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,380.38 / $3,162.28	Professional		$575.44	$1,380.38	$3,162.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $977.24 / $6,456.54	Facility		$501.19	$977.24	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,778.28	Professional		$977.24	$1,258.93	$1,778.28
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $1,479.11 / $1,905.46 / $2,691.53	Professional	50	$1,479.11	$1,905.46	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,000.00 / $8,128.31	Facility		$537.03	$1,000.00	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,380.38 / $4,786.30	Professional		$645.65	$1,380.38	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $2,238.72	Professional		$724.44	$1,258.93	$2,238.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,754.40 / $5,754.40	Facility		$3,981.07	$5,754.40	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,041.74 / $4,677.35	Professional		$478.63	$2,041.74	$4,677.35
Security Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $4,466.84 / $6,309.57	Professional		$2,089.30	$4,466.84	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $891.25 / $2,398.83	Professional		$478.63	$891.25	$2,398.83