Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $14,454.40	Facility		$1,513.56	$2,570.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,162.28	Professional		$1,148.15	$1,513.56	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $6,165.95	Professional		$1,230.27	$2,398.83	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $6,025.60	Facility		$3,235.94	$3,801.89	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,890.45 / $4,466.84	Professional		$1,995.26	$3,890.45	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,918.31 / $13,489.63	Facility		$1,479.11	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $3,890.45	Professional		$2,238.72	$3,090.30	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,754.23 / $7,943.28	Facility		$1,445.44	$2,754.23	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $9,549.93	Professional		$1,348.96	$2,344.23	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,778.28	Professional		$32.36	$33.11	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,235.94 / $5,011.87	Professional		$1,659.59	$3,235.94	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $16,218.10 / $16,218.10	Facility		$3,235.94	$16,218.10	$16,218.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $6,165.95 / $9,332.54	Professional		$2,187.76	$6,165.95	$9,332.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $6,918.31 / $7,413.10	Professional		$2,951.21	$6,918.31	$7,413.10
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 $1,258.93 / $2,041.74 / $5,495.41	Professional		$1,258.93	$2,041.74	$5,495.41