Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,818.38 / $6,456.54	Facility		$1,412.54	$2,818.38	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $4,570.88	Professional		$1,318.26	$1,445.44	$4,570.88
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 $1,380.38 / $2,630.27 / $6,456.54	Professional		$1,380.38	$2,630.27	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $6,606.93	Facility		$3,548.13	$4,168.69	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $4,365.16 / $5,011.87	Professional		$1,995.26	$4,365.16	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $6,918.31 / $13,489.63	Facility		$1,513.56	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $4,265.80	Professional		$2,454.71	$3,388.44	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $6,606.93 / $12,302.69	Facility		$1,513.56	$6,606.93	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $12,302.69	Professional		$1,412.54	$2,454.71	$12,302.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,862.09	Professional		$32.36	$33.11	$1,862.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $5,370.32	Professional		$1,621.81	$3,162.28	$5,370.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $12,589.25 / $12,589.25	Facility		$3,548.13	$12,589.25	$12,589.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $6,760.83 / $12,589.25	Professional		$1,862.09	$6,760.83	$12,589.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $8,128.31 / $10,232.93	Professional		$3,715.35	$8,128.31	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $6,025.60	Professional		$1,348.96	$2,290.87	$6,025.60