Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,754.23 / $14,454.40	Facility		$1,380.38	$2,754.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $3,467.37	Professional		$1,288.25	$1,479.11	$3,467.37
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 $1,318.26 / $2,570.40 / $6,606.93	Professional		$1,318.26	$2,570.40	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $6,456.54	Facility		$3,467.37	$4,073.80	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,265.80 / $4,897.79	Professional		$1,819.70	$4,265.80	$4,897.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,918.31 / $13,489.63	Facility		$1,479.11	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $4,168.69	Professional		$2,398.83	$3,311.31	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,818.38 / $7,943.28	Facility		$1,479.11	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $11,220.18	Professional		$1,412.54	$2,344.23	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,819.70	Professional		$32.36	$33.11	$1,819.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,388.44 / $5,370.32	Professional		$1,737.80	$3,388.44	$5,370.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $11,220.18 / $11,220.18	Facility		$3,467.37	$11,220.18	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $6,606.93 / $11,220.18	Professional		$1,819.70	$6,606.93	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,943.28 / $10,000.00	Professional		$6,309.57	$7,943.28	$10,000.00
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 $1,318.26 / $2,137.96 / $5,754.40	Professional		$1,318.26	$2,137.96	$5,754.40