Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,623.41 / $14,454.40	Facility		$3,019.95	$5,623.41	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $5,495.41	Professional		$2,511.89	$3,019.95	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,248.07 / $13,489.63	Professional		$2,691.53	$5,248.07	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $8,317.64 / $13,182.57	Facility		$7,079.46	$8,317.64	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,754.40 / $11,481.54	Professional		$2,691.53	$5,754.40	$11,481.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,467.37 / $8,128.31	Facility		$2,511.89	$3,467.37	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,888.44 / $9,120.11	Professional		$4,677.35	$5,888.44	$9,120.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $6,165.95	Facility		$2,511.89	$3,311.31	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,786.30 / $20,417.38	Professional		$2,754.23	$4,786.30	$20,417.38
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 $3,162.28 / $5,623.41 / $8,709.64	Professional		$3,162.28	$5,623.41	$8,709.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $33,884.42 / $33,884.42	Facility		$6,918.31	$33,884.42	$33,884.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $13,182.57 / $19,498.45	Professional		$2,691.53	$13,182.57	$19,498.45
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 $8,511.38 / $10,715.19 / $13,803.84	Professional		$8,511.38	$10,715.19	$13,803.84
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 $2,511.89 / $3,801.89 / $10,232.93	Professional		$2,511.89	$3,801.89	$10,232.93