Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,248.07 / $6,760.83	Facility		$1,584.89	$5,248.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $3,019.95	Professional		$891.25	$1,148.15	$3,019.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,230.27 / $4,570.88 / $6,918.31	Professional	50	$1,230.27	$4,570.88	$6,918.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,041.74 / $5,128.61	Professional		$933.25	$2,041.74	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,380.38 / $3,019.95 / $7,585.78	Professional	50	$1,380.38	$3,019.95	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,128.61	Facility		$2,754.23	$3,235.94	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,754.23 / $5,128.61	Professional		$1,230.27	$2,754.23	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,162.28 / $5,754.40	Facility		$1,122.02	$3,162.28	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,019.95	Professional		$1,905.46	$2,570.40	$3,019.95
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $2,818.38 / $3,801.89 / $4,570.88	Professional	50	$2,818.38	$3,801.89	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,265.80 / $11,481.54	Facility		$1,122.02	$4,265.80	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,949.84 / $7,762.47	Professional		$954.99	$1,949.84	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,137.96 / $3,311.31	Professional		$1,000.00	$2,137.96	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $8,912.51 / $8,912.51	Facility		$6,165.95	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $4,786.30 / $7,413.10	Professional		$977.24	$4,786.30	$7,413.10
Security Health Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $10,000.00 / $10,000.00	Professional		$2,398.83	$10,000.00	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $13,182.57	Facility		$6,606.93	$10,232.93	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,659.59 / $4,168.69	Professional		$912.01	$1,659.59	$4,168.69