Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $14,454.40	Facility		$1,148.15	$2,398.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $2,951.21	Professional		$1,071.52	$1,202.26	$2,951.21
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 $1,148.15 / $2,344.23 / $5,754.40	Professional		$1,148.15	$2,344.23	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,623.41	Facility		$3,019.95	$3,548.13	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $4,786.30 / $5,370.32	Professional		$1,479.11	$4,786.30	$5,370.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,398.83 / $10,000.00	Facility		$1,174.90	$2,398.83	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,630.78	Professional		$2,089.30	$2,818.38	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,511.89 / $15,135.61	Facility		$1,174.90	$2,511.89	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $8,709.64	Professional		$1,230.27	$2,187.76	$8,709.64
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 $2,187.76 / $3,235.94 / $4,677.35	Professional		$2,187.76	$3,235.94	$4,677.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $8,128.31 / $8,128.31	Facility		$3,019.95	$8,128.31	$8,128.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $5,623.41 / $8,511.38	Professional		$2,089.30	$5,623.41	$8,511.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $6,456.54 / $7,413.10	Professional		$3,388.44	$6,456.54	$7,413.10
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 $1,230.27 / $1,778.28 / $4,786.30	Professional		$1,230.27	$1,778.28	$4,786.30