Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $1,621.81	Facility		$707.95	$1,318.26	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $954.99	Professional		$436.52	$524.81	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $1,621.81	Facility		$1,258.93	$1,584.89	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $2,398.83	Professional		$288.40	$288.40	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $3,019.95	Facility		$1,621.81	$1,862.09	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,412.54 / $1,819.70	Professional		$676.08	$1,412.54	$1,819.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,951.21 / $4,265.80	Facility		$645.65	$2,951.21	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,890.45	Professional		$3,467.37	$3,467.37	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $2,041.74	Facility		$524.81	$707.95	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $2,951.21	Professional		$302.00	$436.52	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,041.74	Professional		$1,023.29	$1,380.38	$2,041.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,754.23 / $2,754.23	Facility		$1,174.90	$2,754.23	$2,754.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $2,951.21 / $2,951.21	Professional		$331.13	$2,951.21	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,258.93	Professional		$588.84	$588.84	$1,258.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $3,630.78	Professional		$588.84	$588.84	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $707.95	Facility		$524.81	$524.81	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $1,122.02	Professional		$245.47	$416.87	$1,122.02