Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,168.69 / $14,454.40	Facility		$2,238.72	$4,168.69	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $4,168.69	Professional		$1,905.46	$2,344.23	$4,168.69
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 $2,041.74 / $3,890.45 / $10,000.00	Professional		$2,041.74	$3,890.45	$10,000.00
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 $2,187.76 / $4,570.88 / $8,511.38	Professional		$2,187.76	$4,570.88	$8,511.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $8,128.31	Facility		$1,905.46	$2,630.27	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,466.84 / $7,079.46	Professional		$3,548.13	$4,466.84	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $5,754.40	Facility		$1,905.46	$2,570.40	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,548.13 / $15,488.17	Professional		$2,041.74	$3,548.13	$15,488.17
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 $2,570.40 / $4,677.35 / $7,244.36	Professional		$2,570.40	$4,677.35	$7,244.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $19,054.61 / $19,054.61	Facility		$5,248.07	$19,054.61	$19,054.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $10,000.00 / $15,135.61	Professional		$2,137.96	$10,000.00	$15,135.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,943.28 / $10,232.93	Professional		$6,309.57	$7,943.28	$10,232.93
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 $2,041.74 / $2,951.21 / $7,762.47	Professional		$2,041.74	$2,951.21	$7,762.47