Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $14,454.40	Facility		$1,288.25	$2,089.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,630.27	Professional		$954.99	$1,288.25	$2,630.27
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 $1,023.29 / $1,949.84 / $5,623.41	Professional		$1,023.29	$1,949.84	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $4,786.30	Facility		$2,570.40	$3,019.95	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $3,630.78	Professional		$1,621.81	$3,162.28	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $7,244.36 / $13,489.63	Facility		$1,174.90	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,090.30	Professional		$2,137.96	$2,691.53	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $9,549.93	Facility		$1,174.90	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $9,332.54	Professional		$1,258.93	$2,187.76	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,513.56	Professional		$32.36	$33.11	$1,513.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $4,365.16	Professional		$1,819.70	$2,570.40	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $10,715.19 / $10,715.19	Facility		$2,630.27	$10,715.19	$10,715.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $5,128.61 / $9,772.37	Professional		$1,737.80	$5,128.61	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $7,079.46 / $7,079.46	Professional		$4,897.79	$7,079.46	$7,079.46
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 $1,230.27 / $2,089.30 / $4,677.35	Professional		$1,230.27	$2,089.30	$4,677.35