Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,137.96 / $14,454.40	Facility		$1,000.00	$2,137.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $2,570.40	Professional		$933.25	$1,047.13	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $5,370.32	Professional		$1,000.00	$2,089.30	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $5,248.07	Facility		$2,691.53	$3,090.30	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $4,168.69 / $4,786.30	Professional		$1,318.26	$4,168.69	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $6,918.31	Facility		$1,000.00	$2,041.74	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,162.28	Professional		$1,819.70	$2,454.71	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,137.96 / $15,135.61	Facility		$1,023.29	$2,137.96	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $7,585.78	Professional		$1,071.52	$1,819.70	$7,585.78
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 $1,479.11 / $2,238.72 / $3,388.44	Professional		$1,479.11	$2,238.72	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,897.79 / $7,585.78	Professional		$1,819.70	$4,897.79	$7,585.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,623.41 / $6,456.54	Professional		$2,884.03	$5,623.41	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $4,168.69	Professional		$1,023.29	$1,548.82	$4,168.69