Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $14,454.40	Facility		$1,230.27	$1,995.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,454.71	Professional		$891.25	$1,230.27	$2,454.71
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 $954.99 / $1,862.09 / $5,370.32	Professional		$954.99	$1,862.09	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,570.88	Facility		$2,454.71	$2,884.03	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,019.95 / $3,630.78	Professional		$1,548.82	$3,019.95	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $7,244.36 / $13,489.63	Facility		$1,122.02	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $2,951.21	Professional		$2,041.74	$2,511.89	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,818.38 / $9,549.93	Facility		$1,122.02	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $8,912.51	Professional		$1,174.90	$2,089.30	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,412.54	Professional		$32.36	$33.11	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $4,168.69	Professional		$1,698.24	$2,398.83	$4,168.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $10,232.93	Facility		$2,454.71	$10,232.93	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,786.30 / $9,772.37	Professional		$1,659.59	$4,786.30	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,606.93 / $6,760.83	Professional		$4,677.35	$6,606.93	$6,760.83
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 $1,096.48 / $1,949.84 / $4,365.16	Professional		$1,096.48	$1,949.84	$4,365.16