Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $17,782.79	Facility		$2,238.72	$2,238.72	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,467.37	Professional		$1,905.46	$2,238.72	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,803.84	Facility		$5,011.87	$8,128.31	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,890.45 / $10,000.00	Professional		$1,995.26	$3,890.45	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $7,244.36 / $11,748.98	Facility		$6,309.57	$7,244.36	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $6,456.54 / $10,232.93	Professional		$2,137.96	$6,456.54	$10,232.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,162.28 / $8,709.64	Facility		$1,995.26	$3,162.28	$8,709.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $6,309.57	Facility		$1,995.26	$2,818.38	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $15,135.61	Professional		$2,089.30	$3,548.13	$15,135.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $380.19 / $2,344.23	Professional		$32.36	$380.19	$2,344.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,265.80 / $6,456.54	Professional		$2,398.83	$4,265.80	$6,456.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $35,481.34 / $35,481.34	Facility		$5,011.87	$35,481.34	$35,481.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $9,332.54 / $14,125.38	Professional		$1,995.26	$9,332.54	$14,125.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $12,302.69 / $13,489.63	Professional		$8,709.64	$12,302.69	$13,489.63
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 $1,995.26 / $2,884.03 / $8,511.38	Professional		$1,995.26	$2,884.03	$8,511.38