Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $14,454.40	Facility		$1,479.11	$3,090.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $4,073.80	Professional		$1,380.38	$1,548.82	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $7,413.10	Professional		$1,479.11	$2,951.21	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $7,244.36	Facility		$3,890.45	$4,570.88	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $6,025.60 / $6,918.31	Professional		$1,905.46	$6,025.60	$6,918.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,090.30 / $9,772.37	Facility		$1,513.56	$3,090.30	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,548.13 / $4,570.88	Professional		$2,691.53	$3,548.13	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,235.94 / $13,489.63	Facility		$1,513.56	$3,235.94	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $15,848.93	Professional		$1,513.56	$2,630.27	$15,848.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $4,897.79	Professional		$2,137.96	$3,235.94	$4,897.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $13,803.84 / $13,803.84	Facility		$3,890.45	$13,803.84	$13,803.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $7,244.36 / $15,848.93	Professional		$2,630.27	$7,244.36	$15,848.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $8,317.64 / $9,549.93	Professional		$4,466.84	$8,317.64	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $6,165.95	Professional		$1,479.11	$2,238.72	$6,165.95