Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,168.69 / $14,454.40	Facility		$1,995.26	$4,168.69	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,137.96 / $6,456.54	Professional		$1,862.09	$2,137.96	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,890.45 / $10,232.93	Professional		$1,995.26	$3,890.45	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,165.95 / $9,772.37	Facility		$5,248.07	$6,165.95	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $9,332.54	Professional		$2,630.27	$8,317.64	$9,332.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,388.44 / $5,754.40	Facility		$1,995.26	$3,388.44	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,897.79 / $6,309.57	Professional		$3,630.78	$4,897.79	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,168.69 / $15,135.61	Facility		$2,041.74	$4,168.69	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,890.45 / $15,135.61	Professional		$2,238.72	$3,890.45	$15,135.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,466.84 / $6,760.83	Professional		$2,951.21	$4,466.84	$6,760.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $26,302.68 / $26,302.68	Facility		$5,248.07	$26,302.68	$26,302.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $10,000.00 / $14,791.08	Professional		$3,630.78	$10,000.00	$14,791.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $11,220.18 / $12,882.50	Professional		$5,754.40	$11,220.18	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $8,317.64	Professional		$2,187.76	$3,162.28	$8,317.64