Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $1,698.24	Professional		$1,318.26	$1,513.56	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $5,370.32	Facility		$4,168.69	$5,248.07	$5,370.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $6,918.31	Professional		$275.42	$323.59	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,309.57 / $10,000.00	Facility		$5,370.32	$6,309.57	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,466.84 / $6,025.60	Professional		$2,238.72	$4,466.84	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $8,128.31 / $12,302.69	Facility		$2,089.30	$8,128.31	$12,302.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $12,882.50	Professional		$11,748.98	$11,748.98	$12,882.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $6,760.83	Facility		$1,584.89	$2,344.23	$6,760.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $9,772.37	Professional		$812.83	$1,174.90	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $1,949.84	Professional		$50.12	$64.57	$1,949.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $6,456.54	Professional		$3,090.30	$4,570.88	$6,456.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $9,332.54 / $9,332.54	Facility		$3,890.45	$9,332.54	$9,332.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $8,709.64 / $9,772.37	Professional		$2,818.38	$8,709.64	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $13,489.63	Professional		$10,715.19	$10,715.19	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,344.23	Facility		$1,548.82	$1,548.82	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $3,235.94	Professional		$812.83	$1,174.90	$3,235.94