Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $3,548.13	Facility		$1,318.26	$2,754.23	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $4,168.69	Professional		$1,258.93	$1,659.59	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $9,332.54	Facility		$3,311.31	$4,897.79	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $7,079.46	Professional		$1,778.28	$2,691.53	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $8,128.31	Facility		$4,365.16	$5,128.61	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,011.87 / $7,762.47	Professional		$1,949.84	$5,011.87	$7,762.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $3,801.89	Facility		$1,479.11	$2,398.83	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $5,128.61	Professional		$2,454.71	$3,467.37	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,691.53 / $12,882.50	Facility		$1,513.56	$2,691.53	$12,882.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $12,302.69	Professional		$1,905.46	$3,715.35	$12,302.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,041.74	Professional		$32.36	$33.11	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,801.89 / $6,025.60	Professional		$2,238.72	$3,801.89	$6,025.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,317.64 / $8,317.64	Facility		$3,467.37	$8,317.64	$8,317.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $8,511.38 / $12,302.69	Professional		$2,398.83	$8,511.38	$12,302.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $8,511.38 / $10,715.19	Professional		$5,623.41	$8,511.38	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $6,760.83	Professional		$1,621.81	$2,570.40	$6,760.83