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 / $1,548.82	Professional		$912.01	$1,071.52	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $4,466.84	Professional		$977.24	$1,148.15	$4,466.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
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 $1,513.56 / $1,949.84 / $4,073.80	Professional		$1,513.56	$1,949.84	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,466.84 / $7,585.78	Facility		$776.25	$4,466.84	$7,585.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $6,165.95	Facility		$776.25	$1,230.27	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $2,344.23	Professional		$645.65	$776.25	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,318.26	Professional		$645.65	$645.65	$1,318.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $4,265.80	Professional		$1,698.24	$3,019.95	$4,265.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $6,165.95	Facility		$2,630.27	$2,630.27	$6,165.95
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 $6,918.31 / $7,079.46 / $7,079.46	Professional		$6,918.31	$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 / $2,511.89	Professional		$549.54	$776.25	$2,511.89