Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $14,454.40	Facility		$1,174.90	$2,238.72	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,754.23	Professional		$1,000.00	$1,230.27	$2,754.23
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 $1,071.52 / $2,089.30 / $5,011.87	Professional		$1,071.52	$2,089.30	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $5,248.07	Facility		$2,818.38	$3,311.31	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,467.37 / $3,981.07	Professional		$1,548.82	$3,467.37	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,918.31 / $13,489.63	Facility		$1,174.90	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $3,388.44	Professional		$1,949.84	$2,691.53	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,691.53 / $7,943.28	Facility		$1,174.90	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $8,128.31	Professional		$1,096.48	$1,995.26	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $3,467.37	Professional		$1,288.25	$2,454.71	$3,467.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,709.64 / $8,709.64	Facility		$2,818.38	$8,709.64	$8,709.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $5,370.32 / $7,943.28	Professional		$1,479.11	$5,370.32	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,248.07 / $5,370.32	Professional		$3,090.30	$5,248.07	$5,370.32
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 $1,071.52 / $1,778.28 / $4,677.35	Professional		$1,071.52	$1,778.28	$4,677.35