Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,715.35 / $14,454.40	Facility		$1,659.59	$3,715.35	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $3,715.35	Professional		$1,659.59	$1,995.26	$3,715.35
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 $1,778.28 / $3,467.37 / $9,332.54	Professional		$1,778.28	$3,467.37	$9,332.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $8,709.64	Facility		$4,677.35	$5,495.41	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $7,244.36 / $8,128.31	Professional		$2,951.21	$7,244.36	$8,128.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,244.36 / $13,489.63	Facility		$1,949.84	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,466.84 / $5,623.41	Professional		$3,235.94	$4,466.84	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,548.13 / $7,943.28	Facility		$1,737.80	$3,548.13	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $13,803.84	Professional		$1,819.70	$3,311.31	$13,803.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,786.30 / $7,762.47	Professional		$2,454.71	$4,786.30	$7,762.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $26,302.68 / $26,302.68	Facility		$4,677.35	$26,302.68	$26,302.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $8,709.64 / $13,803.84	Professional		$3,311.31	$8,709.64	$13,803.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $12,589.25	Professional		$6,025.60	$10,471.29	$12,589.25
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 $1,778.28 / $2,951.21 / $7,943.28	Professional		$1,778.28	$2,951.21	$7,943.28