Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,162.28	Professional		$1,905.46	$2,238.72	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $2,630.27 / $12,882.50	Professional		$338.84	$2,630.27	$12,882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $18,197.01 / $26,915.35	Facility		$15,848.93	$18,197.01	$26,915.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,244.36 / $15,488.17	Professional		$5,888.44	$7,244.36	$15,488.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,888.44 / $14,791.08	Facility		$4,466.84	$5,888.44	$14,791.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $29,512.09 / $29,512.09 / $33,113.11	Professional		$29,512.09	$29,512.09	$33,113.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,918.31 / $17,378.01	Facility		$4,466.84	$6,918.31	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $24,547.09	Professional		$1,096.48	$1,513.56	$24,547.09
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 $4,897.79 / $11,481.54 / $16,218.10	Professional		$4,897.79	$11,481.54	$16,218.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $23,442.29	Facility		$10,000.00	$10,000.00	$23,442.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $19,952.62 / $24,547.09	Professional		$7,244.36	$19,952.62	$24,547.09
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 $14,454.40 / $26,915.35 / $26,915.35	Professional		$14,454.40	$26,915.35	$26,915.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $4,897.79	Professional		$1,047.13	$1,513.56	$4,897.79