Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,370.32 / $5,370.32	Facility		$2,344.23	$5,370.32	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,548.82 / $2,344.23	Professional		$354.81	$1,548.82	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $6,025.60	Professional		$204.17	$239.88	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,309.57 / $10,000.00	Facility		$5,370.32	$6,309.57	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,570.88 / $6,025.60	Professional		$2,238.72	$4,570.88	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $8,128.31 / $12,302.69	Facility		$2,137.96	$8,128.31	$12,302.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $12,882.50	Professional		$11,748.98	$11,748.98	$12,882.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $6,760.83	Facility		$1,621.81	$2,344.23	$6,760.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $9,772.37	Professional		$870.96	$1,174.90	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $6,456.54	Professional		$3,162.28	$4,570.88	$6,456.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $9,332.54 / $9,332.54	Facility		$3,890.45	$9,332.54	$9,332.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $7,762.47 / $9,772.37	Professional		$2,818.38	$7,762.47	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $10,715.19 / $14,791.08	Professional		$5,623.41	$10,715.19	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,344.23	Facility		$1,548.82	$1,548.82	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $3,235.94	Professional		$812.83	$1,174.90	$3,235.94