Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,495.41 / $14,454.40	Facility		$2,511.89	$5,495.41	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $5,495.41	Professional		$2,344.23	$2,754.23	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,248.07 / $13,803.84	Professional		$2,570.40	$5,248.07	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $8,317.64 / $13,182.57	Facility		$7,079.46	$8,317.64	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $10,715.19 / $12,022.64	Professional		$4,365.16	$10,715.19	$12,022.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,918.31 / $13,489.63	Facility		$2,951.21	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $8,317.64	Professional		$4,786.30	$6,606.93	$8,317.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,801.89 / $7,943.28	Facility		$2,454.71	$3,801.89	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,677.35 / $19,952.62	Professional		$2,630.27	$4,677.35	$19,952.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,630.78	Professional		$32.36	$33.11	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $6,025.60 / $10,232.93	Professional		$3,090.30	$6,025.60	$10,232.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $37,153.52 / $37,153.52	Facility		$6,918.31	$37,153.52	$37,153.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $12,882.50 / $19,498.45	Professional		$4,897.79	$12,882.50	$19,498.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $15,848.93 / $19,952.62	Professional		$8,511.38	$15,848.93	$19,952.62
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 $2,454.71 / $4,073.80 / $11,481.54	Professional		$2,454.71	$4,073.80	$11,481.54