Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,370.32 / $5,370.32	Facility		$2,344.23	$5,370.32	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,344.23	Professional		$1,348.96	$1,584.89	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $5,754.40	Professional		$28.18	$33.11	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,165.95 / $10,000.00	Facility		$5,370.32	$6,165.95	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,897.79 / $6,025.60	Professional		$2,238.72	$4,897.79	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $8,128.31 / $12,302.69	Facility		$2,137.96	$8,128.31	$12,302.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $12,882.50	Professional		$11,481.54	$11,481.54	$12,882.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $6,760.83	Facility		$1,737.80	$2,344.23	$6,760.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $9,549.93	Professional		$870.96	$1,174.90	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $6,309.57	Professional		$3,162.28	$4,570.88	$6,309.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $9,120.11 / $9,120.11	Facility		$3,890.45	$9,120.11	$9,120.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $7,762.47 / $9,549.93	Professional		$2,818.38	$7,762.47	$9,549.93
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 $5,623.41 / $10,471.29 / $14,791.08	Professional		$5,623.41	$10,471.29	$14,791.08
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 / $3,162.28	Professional		$812.83	$1,174.90	$3,162.28