Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,630.78 / $14,454.40	Facility		$2,238.72	$3,630.78	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $4,570.88	Professional		$1,659.59	$2,238.72	$4,570.88
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 $1,778.28 / $3,467.37 / $10,000.00	Professional		$1,778.28	$3,467.37	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $8,511.38	Facility		$4,570.88	$5,370.32	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,623.41 / $6,606.93	Professional		$2,884.03	$5,623.41	$6,606.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,244.36 / $13,489.63	Facility		$2,089.30	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,677.35 / $5,495.41	Professional		$3,801.89	$4,677.35	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,548.13 / $9,549.93	Facility		$1,949.84	$3,548.13	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,890.45 / $16,218.10	Professional		$2,187.76	$3,890.45	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,570.40	Professional		$32.36	$33.11	$2,570.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $7,585.78	Professional		$3,235.94	$4,570.88	$7,585.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $54,954.09 / $54,954.09	Facility		$4,570.88	$54,954.09	$54,954.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $8,912.51 / $19,498.45	Professional		$3,090.30	$8,912.51	$19,498.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $12,302.69 / $12,589.25	Professional		$8,709.64	$12,302.69	$12,589.25
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 $2,137.96 / $3,630.78 / $8,128.31	Professional		$2,137.96	$3,630.78	$8,128.31