Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,659.59	Professional		$1,230.27	$1,445.44	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $6,456.54	Professional		$1,230.27	$1,445.44	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,309.57 / $10,000.00	Facility		$5,370.32	$6,309.57	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,466.84 / $6,025.60	Professional		$2,238.72	$4,466.84	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,413.10 / $11,220.18	Facility		$1,949.84	$7,413.10	$11,220.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $12,882.50	Professional		$11,748.98	$11,748.98	$12,882.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $6,760.83	Facility		$1,584.89	$2,344.23	$6,760.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $9,772.37	Professional		$794.33	$1,047.13	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $1,949.84	Professional		$50.12	$70.79	$1,949.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $6,456.54	Professional		$3,162.28	$4,570.88	$6,456.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $9,332.54 / $9,332.54	Facility		$3,890.45	$9,332.54	$9,332.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $7,762.47 / $9,772.37	Professional		$2,818.38	$7,762.47	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,344.23	Facility		$1,412.54	$1,412.54	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $2,884.03	Professional		$741.31	$1,047.13	$2,884.03