Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,630.78 / $3,630.78	Facility		$1,548.82	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,258.93	Professional		$912.01	$1,071.52	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $4,570.88	Professional		$169.82	$199.53	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,168.69 / $6,760.83	Facility		$3,630.78	$4,168.69	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $4,073.80	Professional		$1,348.96	$1,737.80	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,495.41 / $8,317.64	Facility		$1,318.26	$5,495.41	$8,317.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $8,709.64	Professional		$7,762.47	$7,762.47	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $4,570.88	Facility		$1,174.90	$1,548.82	$4,570.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $6,456.54	Professional		$588.84	$776.25	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $645.65	Professional		$50.12	$70.79	$645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $4,265.80	Professional		$2,089.30	$3,090.30	$4,265.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,165.95 / $6,165.95	Facility		$2,630.27	$6,165.95	$6,165.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $5,248.07 / $6,456.54	Professional		$1,905.46	$5,248.07	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,548.82	Facility		$1,047.13	$1,047.13	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $2,137.96	Professional		$549.54	$776.25	$2,137.96