Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,677.35 / $14,454.40	Facility		$2,089.30	$4,677.35	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $6,606.93	Professional		$2,089.30	$2,454.71	$6,606.93
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 $2,238.72 / $4,365.16 / $10,964.78	Professional		$2,238.72	$4,365.16	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,918.31 / $10,964.78	Facility		$5,888.44	$6,918.31	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $8,912.51 / $10,232.93	Professional		$3,311.31	$8,912.51	$10,232.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,168.69 / $10,000.00	Facility		$2,089.30	$4,168.69	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,495.41 / $7,079.46	Professional		$4,073.80	$5,495.41	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $7,762.47	Facility		$2,089.30	$3,235.94	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $17,378.01	Professional		$2,344.23	$3,801.89	$17,378.01
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 $3,801.89 / $5,623.41 / $8,709.64	Professional		$3,801.89	$5,623.41	$8,709.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $44,668.36 / $44,668.36	Facility		$5,888.44	$44,668.36	$44,668.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $10,964.78 / $16,982.44	Professional		$4,365.16	$10,964.78	$16,982.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $13,182.57 / $14,454.40	Professional		$6,456.54	$13,182.57	$14,454.40
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 $2,290.87 / $3,388.44 / $9,549.93	Professional		$2,290.87	$3,388.44	$9,549.93