Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $2,137.96	Professional		$1,548.82	$1,778.28	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $6,918.31	Professional		$1,548.82	$1,548.82	$6,918.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $7,079.46 / $11,481.54	Facility		$6,165.95	$7,079.46	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $6,918.31	Professional		$2,570.40	$3,311.31	$6,918.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $7,585.78 / $12,882.50	Facility		$1,318.26	$7,585.78	$12,882.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $10,471.29	Facility		$1,318.26	$1,995.26	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $3,981.07	Professional		$1,122.02	$1,318.26	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $1,122.02 / $2,238.72	Professional		$85.11	$1,122.02	$2,238.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,128.61 / $7,244.36	Professional		$2,884.03	$5,128.61	$7,244.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $10,471.29	Facility		$4,466.84	$4,466.84	$10,471.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Professional		$12,022.64	$12,022.64	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,691.53	Facility		$1,778.28	$1,778.28	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $4,265.80	Professional		$933.25	$1,318.26	$4,265.80