Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $13,182.57 / $13,182.57	Facility		$5,754.40	$13,182.57	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $5,754.40	Professional		$3,311.31	$3,890.45	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $12,882.50 / $13,182.57	Facility		$10,232.93	$12,882.50	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $19,952.62	Professional		$3,801.89	$3,801.89	$19,952.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $15,488.17 / $24,547.09	Facility		$13,182.57	$15,488.17	$24,547.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $12,022.64 / $14,791.08	Professional		$5,495.41	$12,022.64	$14,791.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $19,498.45 / $28,183.83	Facility		$5,248.07	$19,498.45	$28,183.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $31,622.78	Professional		$28,840.32	$28,840.32	$31,622.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,165.95 / $16,595.87	Facility		$4,265.80	$6,165.95	$16,595.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $23,988.33	Professional		$2,137.96	$2,884.03	$23,988.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $2,398.83	Professional		$50.12	$64.57	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $11,220.18 / $15,848.93	Professional		$7,762.47	$11,220.18	$15,848.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $22,908.68 / $22,908.68	Facility		$9,549.93	$22,908.68	$22,908.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $23,988.33 / $23,988.33	Professional		$6,918.31	$23,988.33	$23,988.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $26,302.68 / $36,307.81	Professional		$13,803.84	$26,302.68	$36,307.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,754.40	Facility		$3,801.89	$3,801.89	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $7,943.28	Professional		$1,995.26	$2,884.03	$7,943.28