Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $8,912.51 / $8,912.51	Facility		$3,890.45	$8,912.51	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $3,890.45	Professional		$2,290.87	$2,630.27	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $10,232.93	Professional		$1,096.48	$1,288.25	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,471.29 / $16,595.87	Facility		$8,912.51	$10,471.29	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $8,128.31 / $10,000.00	Professional		$3,715.35	$8,128.31	$10,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $13,489.63 / $20,417.38	Facility		$3,548.13	$13,489.63	$20,417.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $21,379.62	Professional		$19,498.45	$19,498.45	$21,379.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $11,220.18	Facility		$2,884.03	$3,890.45	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $16,218.10	Professional		$1,445.44	$1,949.84	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $3,235.94	Professional		$50.12	$64.57	$3,235.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,585.78 / $10,715.19	Professional		$5,248.07	$7,585.78	$10,715.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $15,488.17 / $15,488.17	Facility		$6,456.54	$15,488.17	$15,488.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $16,218.10 / $16,218.10	Professional		$4,677.35	$16,218.10	$16,218.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $17,782.79 / $24,547.09	Professional		$9,332.54	$17,782.79	$24,547.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,890.45	Facility		$2,570.40	$2,570.40	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $5,370.32	Professional		$1,348.96	$1,949.84	$5,370.32