Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,949.84 / $14,454.40	Facility		$1,047.13	$1,949.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,995.26	Professional		$891.25	$1,047.13	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,778.28 / $4,570.88	Professional		$933.25	$1,778.28	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $4,570.88	Facility		$2,454.71	$2,818.38	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,137.96 / $3,981.07	Professional		$1,000.00	$2,137.96	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $8,128.31	Facility		$912.01	$1,258.93	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $3,235.94	Professional		$1,659.59	$2,041.74	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $5,888.44	Facility		$954.99	$1,318.26	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,659.59 / $7,762.47	Professional		$954.99	$1,659.59	$7,762.47
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 $1,174.90 / $2,137.96 / $3,311.31	Professional		$1,174.90	$2,137.96	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $8,912.51 / $8,912.51	Facility		$2,454.71	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $4,677.35 / $7,762.47	Professional		$977.24	$4,677.35	$7,762.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $4,786.30	Professional		$2,630.27	$3,715.35	$4,786.30
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 $933.25 / $1,348.96 / $3,630.78	Professional		$933.25	$1,348.96	$3,630.78