Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $13,803.84 / $13,803.84	Facility		$6,025.60	$13,803.84	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $6,025.60	Professional		$3,467.37	$4,265.80	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $13,489.63 / $13,803.84	Facility		$10,715.19	$13,489.63	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,952.62	Professional		$1,995.26	$1,995.26	$19,952.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $16,218.10 / $25,703.96	Facility		$13,803.84	$16,218.10	$25,703.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $12,589.25 / $15,488.17	Professional		$5,754.40	$12,589.25	$15,488.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $20,892.96 / $31,622.78	Facility		$5,128.61	$20,892.96	$31,622.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30,199.52 / $30,199.52 / $33,113.11	Professional		$30,199.52	$30,199.52	$33,113.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,025.60 / $17,378.01	Facility		$4,466.84	$6,025.60	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $25,118.86	Professional		$2,238.72	$3,019.95	$25,118.86
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 $8,128.31 / $11,748.98 / $16,595.87	Professional		$8,128.31	$11,748.98	$16,595.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $23,988.33 / $23,988.33	Facility		$10,000.00	$23,988.33	$23,988.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $19,952.62 / $25,118.86	Professional		$7,244.36	$19,952.62	$25,118.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $10,715.19	Professional		$5,011.87	$5,011.87	$10,715.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27,542.29 / $27,542.29 / $38,018.94	Professional		$27,542.29	$27,542.29	$38,018.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $6,025.60	Facility		$3,981.07	$3,981.07	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $8,317.64	Professional		$2,089.30	$3,019.95	$8,317.64