Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $19,498.45	Facility		$1,148.15	$1,862.09	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,479.11	Professional		$851.14	$1,096.48	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $30,199.52	Facility		$12,882.50	$18,197.01	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $5,128.61	Professional		$912.01	$1,778.28	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $4,365.16	Facility		$2,344.23	$2,754.23	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $3,235.94	Professional		$1,584.89	$2,884.03	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $7,762.47 / $14,454.40	Facility		$1,071.52	$7,762.47	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $2,691.53	Professional		$1,949.84	$2,398.83	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,388.44 / $9,549.93	Facility		$1,047.13	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $5,248.07	Professional		$1,148.15	$1,905.46	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,951.21	Professional		$1,380.38	$1,995.26	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $11,748.98	Facility		$2,344.23	$2,344.23	$11,748.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,715.35 / $6,760.83	Professional		$1,584.89	$3,715.35	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $6,309.57 / $6,309.57	Professional		$4,073.80	$6,309.57	$6,309.57
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 / $1,862.09 / $4,265.80	Professional		$1,122.02	$1,862.09	$4,265.80