Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,585.78 / $14,454.40	Facility		$3,388.44	$7,585.78	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $9,772.37	Professional		$3,388.44	$4,073.80	$9,772.37
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 $3,630.78 / $7,079.46 / $19,054.61	Professional		$3,630.78	$7,079.46	$19,054.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,964.78 / $17,782.79	Facility		$9,549.93	$10,964.78	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $14,454.40 / $16,595.87	Professional		$5,888.44	$14,454.40	$16,595.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,244.36 / $13,489.63	Facility		$3,715.35	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $9,120.11 / $11,481.54	Professional		$6,606.93	$9,120.11	$11,481.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,265.80 / $8,511.38	Facility		$2,691.53	$4,265.80	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $28,183.83	Professional		$3,890.45	$6,760.83	$28,183.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $5,128.61	Professional		$32.36	$33.11	$5,128.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $9,549.93 / $15,848.93	Professional		$5,011.87	$9,549.93	$15,848.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $72,443.60 / $72,443.60	Facility		$9,549.93	$72,443.60	$72,443.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $18,197.01 / $28,183.83	Professional		$6,760.83	$18,197.01	$28,183.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Professional		$12,882.50	$12,882.50	$12,882.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $21,379.62 / $25,703.96	Professional		$12,302.69	$21,379.62	$25,703.96
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 $3,630.78 / $5,754.40 / $16,218.10	Professional		$3,630.78	$5,754.40	$16,218.10