Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,265.80 / $4,265.80	Facility		$1,862.09	$4,265.80	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,862.09	Professional		$1,071.52	$1,230.27	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $5,370.32	Professional		$436.52	$512.86	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,897.79 / $7,943.28	Facility		$4,265.80	$4,897.79	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,890.45 / $4,786.30	Professional		$1,778.28	$3,890.45	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,456.54 / $9,772.37	Facility		$1,584.89	$6,456.54	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $10,232.93	Professional		$9,120.11	$9,120.11	$10,232.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $5,370.32	Facility		$1,380.38	$1,862.09	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $7,585.78	Professional		$691.83	$912.01	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $1,548.82	Professional		$50.12	$70.79	$1,548.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $5,011.87	Professional		$2,511.89	$3,630.78	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,244.36 / $7,244.36	Facility		$3,090.30	$7,244.36	$7,244.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $6,165.95 / $7,585.78	Professional		$2,238.72	$6,165.95	$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 $8,128.31 / $8,317.64 / $8,317.64	Professional		$8,128.31	$8,317.64	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,862.09	Facility		$1,230.27	$1,230.27	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $2,511.89	Professional		$645.65	$912.01	$2,511.89