Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,344.23 / $14,454.40	Facility		$1,071.52	$2,344.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,951.21	Professional		$1,023.29	$1,202.26	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $5,370.32	Professional		$1,148.15	$2,187.76	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $5,623.41	Facility		$2,951.21	$3,467.37	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $4,570.88 / $5,128.61	Professional		$1,698.24	$4,570.88	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $4,168.69	Facility		$1,096.48	$1,905.46	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $3,467.37	Professional		$2,041.74	$2,754.23	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,344.23 / $11,220.18	Facility		$1,122.02	$2,344.23	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $8,709.64	Professional		$1,230.27	$2,041.74	$8,709.64
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 $1,698.24 / $2,570.40 / $3,890.45	Professional		$1,698.24	$2,570.40	$3,890.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $7,244.36	Facility		$1,905.46	$3,548.13	$7,244.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $5,623.41 / $8,511.38	Professional		$2,187.76	$5,623.41	$8,511.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,606.93 / $7,413.10	Professional		$3,548.13	$6,606.93	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,232.93 / $12,589.25	Facility		$6,309.57	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $4,786.30	Professional		$1,174.90	$1,778.28	$4,786.30