Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $17,782.79	Facility		$2,041.74	$2,041.74	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $2,290.87	Professional		$1,071.52	$1,905.46	$2,290.87
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 $1,621.81 / $3,090.30 / $9,120.11	Professional		$1,621.81	$3,090.30	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,888.44 / $9,549.93	Facility		$5,128.61	$5,888.44	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,165.95 / $7,079.46	Professional		$3,235.94	$6,165.95	$7,079.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,413.10 / $14,454.40	Facility		$2,187.76	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,548.13 / $9,549.93	Facility		$2,041.74	$3,548.13	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $10,000.00	Professional		$1,995.26	$3,548.13	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,715.35 / $5,370.32	Professional		$2,454.71	$3,715.35	$5,370.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $20,417.38	Facility		$4,168.69	$4,168.69	$20,417.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $7,413.10 / $11,748.98	Professional		$2,818.38	$7,413.10	$11,748.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $13,803.84 / $14,125.38	Professional		$9,332.54	$13,803.84	$14,125.38
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 $1,862.09 / $3,467.37 / $8,128.31	Professional		$1,862.09	$3,467.37	$8,128.31