Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $14,454.40	Facility		$1,071.52	$1,778.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $2,187.76	Professional		$776.25	$1,000.00	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,698.24 / $4,265.80	Professional		$812.83	$1,698.24	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,265.80	Facility		$2,290.87	$2,691.53	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,754.23 / $3,090.30	Professional		$1,174.90	$2,754.23	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,981.07 / $7,413.10	Facility		$1,023.29	$3,981.07	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,691.53	Professional		$1,548.82	$2,137.96	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $6,918.31 / $12,302.69	Facility		$954.99	$6,918.31	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,445.44 / $6,760.83	Professional		$831.76	$1,445.44	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $3,162.28	Professional		$1,000.00	$1,949.84	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $8,912.51 / $8,912.51	Facility		$6,165.95	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $4,073.80 / $6,760.83	Professional		$1,174.90	$4,073.80	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,786.30 / $5,248.07	Professional		$2,041.74	$4,786.30	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $3,548.13	Professional		$776.25	$1,288.25	$3,548.13