Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $14,454.40	Facility		$1,202.26	$1,949.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $2,454.71	Professional		$870.96	$1,202.26	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $21,877.62	Facility		$10,000.00	$13,803.84	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $5,248.07	Professional		$933.25	$1,819.70	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,570.88	Facility		$2,454.71	$2,884.03	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,019.95 / $3,388.44	Professional		$1,548.82	$3,019.95	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $7,244.36 / $13,489.63	Facility		$1,122.02	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $2,951.21	Professional		$2,041.74	$2,511.89	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,818.38 / $9,549.93	Facility		$1,096.48	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $8,709.64	Professional		$1,122.02	$1,949.84	$8,709.64
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 $1,737.80 / $2,454.71 / $4,073.80	Professional		$1,737.80	$2,454.71	$4,073.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $17,782.79 / $17,782.79	Facility		$2,454.71	$17,782.79	$17,782.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,677.35 / $12,022.64	Professional		$1,659.59	$4,677.35	$12,022.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $6,606.93	Professional		$4,365.16	$6,606.93	$6,606.93
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 $1,122.02 / $1,905.46 / $4,265.80	Professional		$1,122.02	$1,905.46	$4,265.80