Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,466.84 / $14,454.40	Facility		$2,754.23	$4,466.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $5,623.41	Professional		$2,089.30	$2,754.23	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $21,877.62	Facility		$10,000.00	$13,803.84	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $12,302.69	Professional		$2,187.76	$4,265.80	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $10,471.29	Facility		$5,623.41	$6,606.93	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,918.31 / $8,912.51	Professional		$3,548.13	$6,918.31	$8,912.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,244.36 / $13,489.63	Facility		$2,570.40	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,754.40 / $6,760.83	Professional		$4,677.35	$5,754.40	$6,760.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,073.80 / $9,549.93	Facility		$2,187.76	$4,073.80	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,897.79 / $20,417.38	Professional		$2,691.53	$4,897.79	$20,417.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,235.94	Professional		$32.36	$33.11	$3,235.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,623.41 / $9,332.54	Professional		$3,890.45	$5,623.41	$9,332.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $67,608.30 / $67,608.30	Facility		$5,623.41	$67,608.30	$67,608.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $10,964.78 / $33,113.11	Professional		$3,801.89	$10,964.78	$33,113.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Professional		$11,481.54	$11,481.54	$11,481.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $15,135.61 / $15,488.17	Professional		$9,772.37	$15,135.61	$15,488.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $10,000.00	Professional		$2,630.27	$4,570.88	$10,000.00