Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $14,454.40	Facility		$2,570.40	$4,073.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $5,128.61	Professional		$1,949.84	$2,570.40	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $11,481.54	Professional		$2,089.30	$3,981.07	$11,481.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $9,549.93	Facility		$5,128.61	$6,025.60	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $6,456.54 / $7,943.28	Professional		$3,311.31	$6,456.54	$7,943.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,244.36 / $13,489.63	Facility		$2,570.40	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $6,025.60	Professional		$4,265.80	$5,248.07	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $9,549.93	Facility		$2,187.76	$3,715.35	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $15,488.17	Professional		$2,570.40	$4,466.84	$15,488.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,019.95	Professional		$32.36	$33.11	$3,019.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,011.87 / $8,709.64	Professional		$3,548.13	$5,011.87	$8,709.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $38,018.94 / $38,018.94	Facility		$5,128.61	$38,018.94	$38,018.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $10,471.29 / $14,791.08	Professional		$3,467.37	$10,471.29	$14,791.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $14,125.38 / $14,454.40	Professional		$8,709.64	$14,125.38	$14,454.40
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 $2,511.89 / $4,168.69 / $9,549.93	Professional		$2,511.89	$4,168.69	$9,549.93