Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,548.13 / $3,548.13	Facility		$1,548.82	$3,548.13	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,548.82	Professional		$776.25	$1,047.13	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $4,570.88	Professional		$245.47	$288.40	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $6,760.83	Facility		$3,548.13	$4,168.69	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,311.31 / $4,073.80	Professional		$1,513.56	$3,311.31	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,495.41 / $8,317.64	Facility		$1,445.44	$5,495.41	$8,317.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $8,709.64	Professional		$7,762.47	$7,762.47	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $4,570.88	Facility		$1,174.90	$1,548.82	$4,570.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $6,456.54	Professional		$501.19	$676.08	$6,456.54
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 $2,089.30 / $3,090.30 / $4,265.80	Professional		$2,089.30	$3,090.30	$4,265.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,165.95 / $6,165.95	Facility		$2,630.27	$6,165.95	$6,165.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $5,623.41 / $6,456.54	Professional		$1,905.46	$5,623.41	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $7,079.46 / $7,079.46	Professional		$3,801.89	$7,079.46	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,548.82	Facility		$891.25	$891.25	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,862.09	Professional		$467.74	$676.08	$1,862.09