Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $3,801.89	Facility		$1,348.96	$1,380.38	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $4,466.84	Professional		$1,000.00	$1,288.25	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $5,623.41	Professional		$1,023.29	$1,659.59	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $5,248.07	Facility		$2,630.27	$3,548.13	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $3,890.45	Professional		$1,659.59	$2,951.21	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,238.72	Facility		$1,023.29	$1,348.96	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,019.95	Professional		$1,905.46	$2,511.89	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $10,232.93 / $17,378.01	Facility		$1,202.26	$10,232.93	$17,378.01
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 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $3,715.35	Professional		$1,862.09	$2,290.87	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $13,182.57 / $13,182.57	Facility		$2,344.23	$13,182.57	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $5,128.61 / $9,120.11	Professional		$1,513.56	$5,128.61	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,079.46 / $7,079.46	Professional		$4,786.30	$7,079.46	$7,079.46
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 $1,230.27 / $1,905.46 / $4,466.84	Professional		$1,230.27	$1,905.46	$4,466.84