Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $14,454.40	Facility		$1,348.96	$2,884.03	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $3,548.13	Professional		$1,258.93	$1,412.54	$3,548.13
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 $1,380.38 / $2,818.38 / $6,918.31	Professional		$1,380.38	$2,818.38	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $6,760.83	Facility		$3,630.78	$4,265.80	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $5,623.41 / $6,456.54	Professional		$1,778.28	$5,623.41	$6,456.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,818.38 / $7,244.36	Facility		$1,348.96	$2,818.38	$7,244.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $4,265.80	Professional		$2,511.89	$3,311.31	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $13,489.63	Facility		$1,380.38	$2,884.03	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $10,964.78	Professional		$1,348.96	$2,290.87	$10,964.78
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 $1,995.26 / $3,019.95 / $4,570.88	Professional		$1,995.26	$3,019.95	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $12,882.50 / $12,882.50	Facility		$3,548.13	$12,882.50	$12,882.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $6,760.83 / $10,964.78	Professional		$2,454.71	$6,760.83	$10,964.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $7,762.47 / $8,912.51	Professional		$3,388.44	$7,762.47	$8,912.51
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 $1,318.26 / $2,041.74 / $5,754.40	Professional		$1,318.26	$2,041.74	$5,754.40