Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $14,454.40	Facility		$1,548.82	$2,511.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,162.28	Professional		$1,174.90	$1,548.82	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $7,079.46	Professional		$1,202.26	$2,454.71	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,754.40	Facility		$3,090.30	$3,630.78	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,890.45 / $4,365.16	Professional		$1,949.84	$3,890.45	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,244.36 / $13,489.63	Facility		$1,412.54	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $3,715.35	Professional		$2,630.27	$3,235.94	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,818.38 / $9,549.93	Facility		$1,412.54	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,818.38 / $11,220.18	Professional		$1,548.82	$2,818.38	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,819.70	Professional		$32.36	$33.11	$1,819.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $5,248.07	Professional		$2,187.76	$3,090.30	$5,248.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $15,848.93 / $15,848.93	Facility		$3,162.28	$15,848.93	$15,848.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $6,165.95 / $11,481.54	Professional		$2,137.96	$6,165.95	$11,481.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $8,511.38 / $8,511.38	Professional		$6,165.95	$8,511.38	$8,511.38
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 $1,479.11 / $2,570.40 / $5,623.41	Professional		$1,479.11	$2,570.40	$5,623.41