Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $14,454.40	Facility		$1,819.70	$3,630.78	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $4,466.84	Professional		$1,659.59	$1,862.09	$4,466.84
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 $1,778.28 / $3,388.44 / $8,511.38	Professional		$1,778.28	$3,388.44	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $8,511.38	Facility		$4,570.88	$5,370.32	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,623.41 / $6,456.54	Professional		$2,570.40	$5,623.41	$6,456.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $6,918.31 / $13,489.63	Facility		$1,862.09	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,365.16 / $5,495.41	Professional		$3,162.28	$4,365.16	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,467.37 / $7,943.28	Facility		$1,819.70	$3,467.37	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,235.94 / $13,182.57	Professional		$1,819.70	$3,235.94	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,398.83	Professional		$32.36	$33.11	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $4,073.80 / $6,918.31	Professional		$2,089.30	$4,073.80	$6,918.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $14,125.38 / $14,125.38	Facility		$4,570.88	$14,125.38	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $8,709.64 / $13,182.57	Professional		$2,398.83	$8,709.64	$13,182.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $10,471.29 / $13,182.57	Professional		$8,317.64	$10,471.29	$13,182.57
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 $1,737.80 / $2,951.21 / $7,762.47	Professional		$1,737.80	$2,951.21	$7,762.47