Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $6,918.31 / $6,918.31	Facility		$3,019.95	$6,918.31	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $3,019.95	Professional		$1,737.80	$2,041.74	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,760.83 / $6,918.31	Facility		$5,370.32	$6,760.83	$6,918.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $9,120.11	Professional		$1,288.25	$1,513.56	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $8,128.31 / $12,882.50	Facility		$6,918.31	$8,128.31	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $6,309.57 / $7,762.47	Professional		$2,884.03	$6,309.57	$7,762.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $10,471.29 / $15,848.93	Facility		$2,754.23	$10,471.29	$15,848.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $16,595.87	Professional		$15,135.61	$15,135.61	$16,595.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $8,709.64	Facility		$2,238.72	$3,019.95	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $12,589.25	Professional		$1,174.90	$1,659.59	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,888.44 / $8,317.64	Professional		$4,073.80	$5,888.44	$8,317.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $12,022.64 / $12,022.64	Facility		$5,011.87	$12,022.64	$12,022.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $12,589.25 / $12,589.25	Professional		$3,630.78	$12,589.25	$12,589.25
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 $7,244.36 / $13,803.84 / $19,054.61	Professional		$7,244.36	$13,803.84	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,019.95	Facility		$2,238.72	$2,238.72	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $4,570.88	Professional		$1,047.13	$1,659.59	$4,570.88