Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $14,454.40	Facility		$1,698.24	$2,754.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $4,786.30	Professional		$1,230.27	$1,698.24	$4,786.30
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 $1,318.26 / $2,570.40 / $7,413.10	Professional		$1,318.26	$2,570.40	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $6,309.57	Facility		$3,388.44	$3,981.07	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,168.69 / $5,370.32	Professional		$2,137.96	$4,168.69	$5,370.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,244.36 / $13,489.63	Facility		$1,548.82	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $4,073.80	Professional		$2,818.38	$3,548.13	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,388.44 / $9,549.93	Facility		$1,548.82	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $12,302.69	Professional		$1,659.59	$2,951.21	$12,302.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,905.46	Professional		$32.36	$33.11	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $5,754.40	Professional		$2,398.83	$3,388.44	$5,754.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $25,118.86 / $25,118.86	Facility		$3,388.44	$25,118.86	$25,118.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $6,606.93 / $16,595.87	Professional		$2,290.87	$6,606.93	$16,595.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $9,120.11 / $9,332.54	Professional		$6,025.60	$9,120.11	$9,332.54
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 $1,584.89 / $2,691.53 / $6,025.60	Professional		$1,584.89	$2,691.53	$6,025.60