Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,344.23 / $14,454.40	Facility		$1,148.15	$2,344.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $2,884.03	Professional		$1,071.52	$1,174.90	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $5,495.41	Professional		$1,122.02	$2,187.76	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $5,495.41	Facility		$2,951.21	$3,467.37	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,630.78 / $4,168.69	Professional		$1,621.81	$3,630.78	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,019.95 / $5,370.32	Facility		$1,258.93	$3,019.95	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $3,548.13	Professional		$2,041.74	$2,818.38	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $7,079.46 / $12,882.50	Facility		$1,258.93	$7,079.46	$12,882.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $9,772.37	Professional		$1,148.15	$1,995.26	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,548.82	Professional		$32.36	$33.11	$1,548.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,630.27 / $4,466.84	Professional		$1,348.96	$2,630.27	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $14,454.40 / $14,454.40	Facility		$9,772.37	$14,454.40	$14,454.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $5,623.41 / $9,772.37	Professional		$1,548.82	$5,623.41	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,760.83 / $8,511.38	Professional		$5,370.32	$6,760.83	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,125.38	Facility		$6,606.93	$10,232.93	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $4,897.79	Professional		$1,122.02	$1,862.09	$4,897.79