Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $14,791.08 / $14,791.08	Facility		$2,951.21	$14,791.08	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $5,495.41	Professional		$2,511.89	$2,951.21	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $14,125.38	Facility		$5,011.87	$8,128.31	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $13,182.57	Professional		$2,691.53	$5,011.87	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $8,128.31 / $12,882.50	Facility		$6,918.31	$8,128.31	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $6,025.60 / $11,220.18	Professional		$2,818.38	$6,025.60	$11,220.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $8,128.31	Facility		$2,511.89	$3,630.78	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,754.40 / $9,120.11	Professional		$4,677.35	$5,754.40	$9,120.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $6,309.57	Facility		$2,570.40	$3,467.37	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,897.79 / $21,379.62	Professional		$2,818.38	$4,897.79	$21,379.62
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 $3,235.94 / $5,888.44 / $9,120.11	Professional		$3,235.94	$5,888.44	$9,120.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $27,542.29 / $27,542.29	Facility		$6,918.31	$27,542.29	$27,542.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $13,182.57 / $21,379.62	Professional		$2,818.38	$13,182.57	$21,379.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $10,715.19 / $13,489.63	Professional		$8,317.64	$10,715.19	$13,489.63
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 $2,630.27 / $3,890.45 / $10,232.93	Professional		$2,630.27	$3,890.45	$10,232.93