Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,951.21 / $15,135.61	Facility		$1,258.93	$2,951.21	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $5,248.07	Professional		$954.99	$1,479.11	$5,248.07
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 $954.99 / $1,995.26 / $5,011.87	Professional		$954.99	$1,995.26	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,011.87	Facility		$2,691.53	$3,162.28	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,235.94 / $3,715.35	Professional		$1,380.38	$3,235.94	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,677.35 / $8,912.51	Facility		$1,202.26	$4,677.35	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,162.28	Professional		$1,819.70	$2,511.89	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $7,585.78 / $15,848.93	Facility		$1,122.02	$7,585.78	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,698.24 / $7,585.78	Professional		$977.24	$1,698.24	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $3,801.89	Professional		$1,202.26	$2,344.23	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $8,912.51 / $8,912.51 / $13,182.57	Facility	52	$8,912.51	$8,912.51	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $4,786.30 / $7,585.78	Professional		$1,380.38	$4,786.30	$7,585.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $5,623.41 / $6,165.95	Professional		$2,398.83	$5,623.41	$6,165.95
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 $933.25 / $1,513.56 / $4,168.69	Professional		$933.25	$1,513.56	$4,168.69