Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,584.89	Professional		$1,412.54	$1,412.54	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $6,025.60	Professional		$1,819.70	$3,630.78	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $5,495.41	Facility		$1,412.54	$3,162.28	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $15,488.17	Professional		$1,412.54	$2,137.96	$15,488.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $2,630.27	Facility		$1,412.54	$1,479.11	$2,630.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $3,235.94	Facility		$1,380.38	$1,412.54	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,884.03	Professional		$1,380.38	$1,380.38	$2,884.03
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 $141.25 / $323.59 / $2,238.72	Professional		$141.25	$323.59	$2,238.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $6,456.54	Facility		$1,412.54	$1,479.11	$6,456.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $6,456.54	Professional		$1,412.54	$1,479.11	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,344.23	Professional		$1,905.46	$1,905.46	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $1,445.44	Professional		$125.89	$269.15	$1,445.44