Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,073.80 / $14,454.40	Facility		$1,949.84	$4,073.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $5,370.32	Professional		$1,778.28	$2,041.74	$5,370.32
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 $1,995.26 / $3,890.45 / $9,772.37	Professional		$1,995.26	$3,890.45	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $9,549.93	Facility		$5,128.61	$6,025.60	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $8,128.31 / $9,120.11	Professional		$2,511.89	$8,128.31	$9,120.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,073.80 / $10,232.93	Facility		$1,949.84	$4,073.80	$10,232.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,888.44	Professional		$3,548.13	$4,786.30	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,265.80 / $13,489.63	Facility		$1,995.26	$4,265.80	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $29,512.09	Professional		$1,949.84	$3,162.28	$29,512.09
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 $2,884.03 / $4,365.16 / $6,606.93	Professional		$2,884.03	$4,365.16	$6,606.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $27,542.29 / $27,542.29	Facility		$5,128.61	$27,542.29	$27,542.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $9,772.37 / $29,512.09	Professional		$3,548.13	$9,772.37	$29,512.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $11,220.18 / $12,589.25	Professional		$5,754.40	$11,220.18	$12,589.25
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 $1,905.46 / $2,818.38 / $8,317.64	Professional		$1,905.46	$2,818.38	$8,317.64