Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,918.31 / $14,454.40	Facility		$3,715.35	$6,918.31	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,890.45 / $7,079.46	Professional		$3,235.94	$3,890.45	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $6,456.54 / $16,595.87	Professional		$3,388.44	$6,456.54	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $10,000.00 / $16,218.10	Facility		$8,709.64	$10,000.00	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $7,585.78 / $14,125.38	Professional		$3,630.78	$7,585.78	$14,125.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,912.51	Facility		$3,090.30	$4,570.88	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,244.36 / $12,022.64	Professional		$5,888.44	$7,244.36	$12,022.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,168.69 / $7,585.78	Facility		$2,818.38	$4,168.69	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,309.57 / $25,703.96	Professional		$3,235.94	$6,309.57	$25,703.96
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 $4,365.16 / $7,943.28 / $12,302.69	Professional		$4,365.16	$7,943.28	$12,302.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $63,095.73 / $63,095.73	Facility		$8,709.64	$63,095.73	$63,095.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $16,982.44 / $25,118.86	Professional		$3,548.13	$16,982.44	$25,118.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Professional		$12,589.25	$12,589.25	$12,589.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $14,125.38 / $16,982.44	Professional		$11,220.18	$14,125.38	$16,982.44
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 $3,090.30 / $4,897.79 / $13,182.57	Professional		$3,090.30	$4,897.79	$13,182.57