Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $17,782.79	Facility		$1,174.90	$1,174.90	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,187.76	Professional		$1,047.13	$1,258.93	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $26,302.68	Facility		$11,748.98	$16,218.10	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $6,309.57	Professional		$1,202.26	$2,454.71	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $7,585.78	Facility		$3,981.07	$4,677.35	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $6,025.60 / $6,918.31	Professional		$2,290.87	$6,025.60	$6,918.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,235.94 / $10,471.29	Facility		$1,288.25	$3,235.94	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,862.09	Professional		$1,047.13	$1,202.26	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,235.94 / $16,595.87	Facility		$1,288.25	$3,235.94	$16,595.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,513.56 / $9,772.37	Professional		$776.25	$1,513.56	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $4,897.79	Professional		$1,862.09	$3,311.31	$4,897.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $5,754.40 / $9,549.93	Professional		$2,454.71	$5,754.40	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $8,912.51 / $10,964.78	Professional		$6,165.95	$8,912.51	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,659.59 / $5,754.40	Professional		$812.83	$1,659.59	$5,754.40