Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,511.89 / $14,454.40	Facility		$1,348.96	$2,511.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,570.40	Professional		$1,148.15	$1,380.38	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,302.69 / $20,892.96	Facility		$9,120.11	$12,302.69	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,290.87 / $6,025.60	Professional		$1,202.26	$2,290.87	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $5,888.44	Facility		$3,162.28	$3,715.35	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $5,128.61	Professional		$1,318.26	$2,630.27	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $8,912.51	Facility		$1,148.15	$1,659.59	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $4,168.69	Professional		$2,137.96	$2,630.27	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $11,220.18	Facility		$1,230.27	$1,698.24	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $9,772.37	Professional		$1,230.27	$2,089.30	$9,772.37
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 $1,584.89 / $2,818.38 / $4,365.16	Professional		$1,584.89	$2,818.38	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $17,378.01	Facility		$3,162.28	$3,162.28	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $6,025.60 / $9,772.37	Professional		$1,258.93	$6,025.60	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $6,165.95	Professional		$3,890.45	$4,786.30	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $13,803.84	Facility		$4,466.84	$10,232.93	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $4,677.35	Professional		$1,202.26	$1,737.80	$4,677.35