Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $4,168.69	Facility		$1,819.70	$4,168.69	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,819.70	Professional		$1,071.52	$1,258.93	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $5,370.32	Professional		$204.17	$239.88	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $7,762.47	Facility		$4,168.69	$4,897.79	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,801.89 / $4,786.30	Professional		$1,737.80	$3,801.89	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,309.57 / $9,549.93	Facility		$1,659.59	$6,309.57	$9,549.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $10,000.00	Professional		$9,120.11	$9,120.11	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $5,370.32	Facility		$1,380.38	$1,819.70	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $7,585.78	Professional		$676.08	$912.01	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $758.58	Professional		$50.12	$64.57	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $5,011.87	Professional		$2,454.71	$3,548.13	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,244.36 / $7,244.36	Facility		$3,019.95	$7,244.36	$7,244.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $6,025.60 / $7,585.78	Professional		$2,187.76	$6,025.60	$7,585.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $8,317.64 / $8,317.64	Professional		$7,943.28	$8,317.64	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,819.70	Facility		$1,202.26	$1,202.26	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $2,511.89	Professional		$630.96	$912.01	$2,511.89