Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,754.23	Professional		$2,344.23	$2,344.23	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $5,248.07	Facility		$4,365.16	$5,128.61	$5,248.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $2,290.87 / $2,290.87	Professional		$109.65	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $7,762.47	Facility		$2,570.40	$4,466.84	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $2,187.76 / $2,754.23	Professional		$194.98	$2,187.76	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $218.78 / $2,754.23	Facility		$114.82	$218.78	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $2,344.23 / $2,754.23	Facility		$114.82	$2,344.23	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,630.27 / $3,801.89	Professional		$2,344.23	$2,630.27	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $85.11	Professional		$50.12	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $354.81	Professional		$138.04	$263.03	$354.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $9,549.93 / $11,748.98	Facility		$2,570.40	$9,549.93	$11,748.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $389.05	Professional		$147.91	$147.91	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,344.23	Facility		$2,238.72	$2,238.72	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $4,073.80	Professional		$2,344.23	$2,691.53	$4,073.80