Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $14,454.40	Facility		$1,445.44	$2,454.71	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $3,388.44	Professional		$1,071.52	$1,380.38	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $5,623.41	Professional		$1,148.15	$2,290.87	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,754.40	Facility		$3,090.30	$3,630.78	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,715.35 / $4,265.80	Professional		$1,737.80	$3,715.35	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,918.31 / $13,489.63	Facility		$1,445.44	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $3,630.78	Professional		$2,137.96	$2,951.21	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $7,943.28	Facility		$1,380.38	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $9,772.37	Professional		$1,202.26	$2,089.30	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,584.89	Professional		$32.36	$33.11	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,630.27 / $4,466.84	Professional		$1,348.96	$2,630.27	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $25,703.96 / $25,703.96	Facility		$3,090.30	$25,703.96	$25,703.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $5,754.40 / $9,772.37	Professional		$1,621.81	$5,754.40	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $6,456.54 / $7,079.46	Professional		$2,570.40	$6,456.54	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $5,011.87	Professional		$1,096.48	$1,862.09	$5,011.87