Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $14,454.40	Facility		$1,288.25	$2,630.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $3,235.94	Professional		$1,202.26	$1,318.26	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,489.63	Facility		$5,011.87	$8,317.64	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $6,165.95	Professional		$1,258.93	$2,454.71	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $6,165.95	Facility		$3,311.31	$3,890.45	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,073.80 / $4,677.35	Professional		$1,819.70	$4,073.80	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,918.31 / $13,489.63	Facility		$1,412.54	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,981.07	Professional		$2,290.87	$3,162.28	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $7,943.28	Facility		$1,412.54	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $15,135.61	Professional		$1,288.25	$2,290.87	$15,135.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,737.80	Professional		$32.36	$33.11	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $5,011.87	Professional		$1,513.56	$2,884.03	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $10,232.93 / $10,232.93	Facility		$3,311.31	$10,232.93	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $6,309.57 / $15,135.61	Professional		$1,737.80	$6,309.57	$15,135.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,585.78 / $9,332.54	Professional		$6,025.60	$7,585.78	$9,332.54
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 $1,258.93 / $2,137.96 / $5,495.41	Professional		$1,258.93	$2,137.96	$5,495.41