Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $14,454.40	Facility		$1,862.09	$3,019.95	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,715.35	Professional		$1,348.96	$1,862.09	$3,715.35
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 $1,479.11 / $2,818.38 / $8,128.31	Professional		$1,479.11	$2,818.38	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $6,918.31	Facility		$3,715.35	$4,365.16	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $5,754.40	Professional		$2,344.23	$4,570.88	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,244.36 / $13,489.63	Facility		$1,698.24	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $4,466.84	Professional		$3,090.30	$3,890.45	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $9,549.93	Facility		$1,698.24	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $13,489.63	Professional		$1,819.70	$3,162.28	$13,489.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,801.89 / $6,309.57	Professional		$2,691.53	$3,801.89	$6,309.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $36,307.81 / $36,307.81	Facility		$3,801.89	$36,307.81	$36,307.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $7,244.36 / $18,197.01	Professional		$2,511.89	$7,244.36	$18,197.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $10,232.93 / $10,232.93	Professional		$6,918.31	$10,232.93	$10,232.93
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 $1,737.80 / $2,951.21 / $6,606.93	Professional		$1,737.80	$2,951.21	$6,606.93