Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $14,454.40	Facility		$1,698.24	$3,162.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $3,162.28	Professional		$1,445.44	$1,778.28	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,803.84	Facility		$5,011.87	$8,317.64	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,951.21 / $7,585.78	Professional		$1,548.82	$2,951.21	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $7,413.10	Facility		$3,981.07	$4,677.35	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,548.13 / $6,456.54	Professional		$1,659.59	$3,548.13	$6,456.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $8,128.31	Facility		$1,513.56	$2,089.30	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $5,370.32	Professional		$2,691.53	$3,388.44	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $5,754.40	Facility		$1,548.82	$2,137.96	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,754.23 / $11,748.98	Professional		$1,584.89	$2,754.23	$11,748.98
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 $1,995.26 / $3,548.13 / $5,495.41	Professional		$1,995.26	$3,548.13	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $16,595.87 / $16,595.87	Facility		$3,981.07	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $7,585.78 / $11,481.54	Professional		$1,621.81	$7,585.78	$11,481.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,025.60 / $7,762.47	Professional		$4,897.79	$6,025.60	$7,762.47
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 $1,548.82 / $2,238.72 / $5,888.44	Professional		$1,548.82	$2,238.72	$5,888.44