Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,290.87 / $14,454.40	Facility		$1,071.52	$2,290.87	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $2,818.38	Professional		$1,023.29	$1,122.02	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,238.72 / $5,370.32	Professional		$1,096.48	$2,238.72	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $5,370.32	Facility		$2,884.03	$3,388.44	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $4,466.84 / $5,128.61	Professional		$1,445.44	$4,466.84	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,290.87 / $5,495.41	Facility		$1,071.52	$2,290.87	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $3,467.37	Professional		$1,995.26	$2,630.27	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $15,135.61	Facility		$1,096.48	$2,290.87	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $8,317.64	Professional		$1,122.02	$1,949.84	$8,317.64
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 $1,621.81 / $2,454.71 / $3,801.89	Professional		$1,621.81	$2,454.71	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $12,882.50 / $12,882.50	Facility		$2,884.03	$12,882.50	$12,882.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,370.32 / $8,128.31	Professional		$1,949.84	$5,370.32	$8,128.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $6,165.95 / $7,079.46	Professional		$2,691.53	$6,165.95	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $4,570.88	Professional		$1,071.52	$1,659.59	$4,570.88