Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,570.88 / $14,454.40	Facility		$2,691.53	$4,570.88	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $5,754.40	Professional		$2,089.30	$2,691.53	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $28,840.32	Facility		$12,882.50	$18,197.01	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $11,220.18	Professional		$2,238.72	$4,265.80	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $6,760.83 / $10,715.19	Facility		$5,754.40	$6,760.83	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,918.31 / $7,943.28	Professional		$3,548.13	$6,918.31	$7,943.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,918.31 / $13,489.63	Facility		$2,630.27	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,495.41 / $6,918.31	Professional		$3,981.07	$5,495.41	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $7,943.28	Facility		$2,238.72	$3,548.13	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $16,982.44	Professional		$2,398.83	$3,890.45	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,162.28	Professional		$32.36	$33.11	$3,162.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,623.41 / $9,120.11	Professional		$2,884.03	$5,623.41	$9,120.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $42,657.95 / $42,657.95	Facility		$5,754.40	$42,657.95	$42,657.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $11,220.18 / $16,595.87	Professional		$3,890.45	$11,220.18	$16,595.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $12,302.69 / $13,489.63	Professional		$5,248.07	$12,302.69	$13,489.63
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 $2,238.72 / $3,548.13 / $9,772.37	Professional		$2,238.72	$3,548.13	$9,772.37