Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $14,454.40	Facility		$1,819.70	$2,951.21	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,630.78	Professional		$1,318.26	$1,819.70	$3,630.78
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 $1,412.54 / $2,754.23 / $7,943.28	Professional		$1,412.54	$2,754.23	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,265.80 / $6,918.31	Facility		$3,715.35	$4,265.80	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,570.88 / $5,754.40	Professional		$2,290.87	$4,570.88	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $7,244.36 / $13,489.63	Facility		$1,659.59	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $4,365.16	Professional		$3,090.30	$3,801.89	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,388.44 / $9,549.93	Facility		$1,659.59	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,090.30 / $13,182.57	Professional		$1,737.80	$3,090.30	$13,182.57
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 $2,630.27 / $3,715.35 / $6,165.95	Professional		$2,630.27	$3,715.35	$6,165.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $43,651.58 / $43,651.58	Facility		$3,715.35	$43,651.58	$43,651.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $7,079.46 / $18,620.87	Professional		$2,511.89	$7,079.46	$18,620.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $10,000.00 / $10,000.00	Professional		$6,606.93	$10,000.00	$10,000.00
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 $1,698.24 / $2,884.03 / $6,456.54	Professional		$1,698.24	$2,884.03	$6,456.54