Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $3,162.28	Professional		$1,905.46	$2,137.96	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $5,011.87 / $13,803.84	Professional		$204.17	$5,011.87	$13,803.84
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 $2,951.21 / $3,630.78 / $12,589.25	Professional		$2,951.21	$3,630.78	$12,589.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,011.87 / $7,585.78	Facility		$3,019.95	$5,011.87	$7,585.78
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 $3,019.95 / $4,677.35 / $8,709.64	Facility		$3,019.95	$4,677.35	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $13,489.63	Professional		$1,096.48	$1,513.56	$13,489.63
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 $4,365.16 / $6,025.60 / $10,000.00	Professional		$4,365.16	$6,025.60	$10,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $12,022.64	Facility		$5,011.87	$5,011.87	$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 $26,915.35 / $26,915.35 / $26,915.35	Professional		$26,915.35	$26,915.35	$26,915.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $4,466.84	Professional		$1,047.13	$1,513.56	$4,466.84