Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,786.30 / $4,786.30	Facility		$2,089.30	$4,786.30	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,089.30	Professional		$1,148.15	$1,380.38	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $6,309.57	Professional		$724.44	$851.14	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,623.41 / $8,912.51	Facility		$4,786.30	$5,623.41	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $4,365.16 / $5,370.32	Professional		$1,995.26	$4,365.16	$5,370.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $7,244.36 / $10,964.78	Facility		$1,905.46	$7,244.36	$10,964.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $11,481.54	Professional		$10,471.29	$10,471.29	$11,481.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $6,025.60	Facility		$1,548.82	$2,089.30	$6,025.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $8,709.64	Professional		$776.25	$1,047.13	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,073.80 / $5,754.40	Professional		$2,818.38	$4,073.80	$5,754.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,317.64 / $8,317.64	Facility		$3,467.37	$8,317.64	$8,317.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $6,918.31 / $8,709.64	Professional		$2,511.89	$6,918.31	$8,709.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,549.93 / $9,549.93	Professional		$9,120.11	$9,549.93	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,089.30	Facility		$1,380.38	$1,380.38	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,884.03	Professional		$724.44	$1,047.13	$2,884.03