Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,467.37 / $14,454.40	Facility		$1,621.81	$3,467.37	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $4,786.30	Professional		$1,548.82	$1,737.80	$4,786.30
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 $1,659.59 / $3,388.44 / $8,128.31	Professional		$1,659.59	$3,388.44	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $8,128.31	Facility		$4,265.80	$5,011.87	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $6,760.83 / $7,762.47	Professional		$2,137.96	$6,760.83	$7,762.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,311.31 / $10,000.00	Facility		$1,659.59	$3,311.31	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $5,128.61	Professional		$2,951.21	$3,981.07	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,467.37 / $15,135.61	Facility		$1,659.59	$3,467.37	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,090.30 / $16,982.44	Professional		$1,778.28	$3,090.30	$16,982.44
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 $2,398.83 / $3,715.35 / $5,623.41	Professional		$2,398.83	$3,715.35	$5,623.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $13,489.63 / $13,489.63	Facility		$4,265.80	$13,489.63	$13,489.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $8,128.31 / $16,982.44	Professional		$2,951.21	$8,128.31	$16,982.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $9,332.54 / $10,471.29	Professional		$4,677.35	$9,332.54	$10,471.29
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 $1,698.24 / $2,511.89 / $6,918.31	Professional		$1,698.24	$2,511.89	$6,918.31