Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,230.27	Professional		$891.25	$1,023.29	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $5,011.87	Professional		$1,445.44	$1,445.44	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $6,456.54	Facility		$3,467.37	$4,073.80	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,162.28 / $3,981.07	Professional		$1,445.44	$3,162.28	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,248.07 / $7,943.28	Facility		$1,288.25	$5,248.07	$7,943.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $8,511.38	Professional		$7,585.78	$7,585.78	$8,511.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $4,466.84	Facility		$1,148.15	$1,513.56	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $6,309.57	Professional		$575.44	$758.58	$6,309.57
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 $2,041.74 / $2,951.21 / $4,168.69	Professional		$2,041.74	$2,951.21	$4,168.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,025.60 / $6,025.60	Facility		$2,884.03	$6,025.60	$6,025.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $5,011.87 / $6,309.57	Professional		$1,819.70	$5,011.87	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,513.56	Facility		$1,023.29	$1,023.29	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $2,089.30	Professional		$537.03	$758.58	$2,089.30