Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,951.21 / $3,715.35	Professional		$2,570.40	$2,951.21	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $14,791.08	Professional		$1,513.56	$1,513.56	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $11,748.98 / $19,054.61	Facility		$10,000.00	$11,748.98	$19,054.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $11,481.54	Professional		$4,265.80	$9,332.54	$11,481.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $15,488.17 / $23,442.29	Facility		$3,715.35	$15,488.17	$23,442.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21,877.62 / $21,877.62 / $24,547.09	Professional		$21,877.62	$21,877.62	$24,547.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $12,882.50	Facility		$3,311.31	$4,365.16	$12,882.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $18,197.01	Professional		$1,659.59	$2,187.76	$18,197.01
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 $5,888.44 / $8,709.64 / $12,022.64	Professional		$5,888.44	$8,709.64	$12,022.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $17,378.01 / $17,378.01	Facility		$7,413.10	$17,378.01	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $14,791.08 / $18,197.01	Professional		$5,370.32	$14,791.08	$18,197.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Professional		$7,762.47	$7,762.47	$7,762.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $19,952.62	Professional		$19,952.62	$19,952.62	$19,952.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,365.16	Facility		$2,951.21	$2,951.21	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $6,025.60	Professional		$1,548.82	$2,187.76	$6,025.60