Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,074.88 / $2,235.73 / $14,482.00	Facility		$1,074.88	$2,235.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.88 / $1,104.80 / $4,939.89	Professional		$1,074.88	$1,104.80	$4,939.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,201.00 / $17,650.31	Facility		$6,538.00	$10,201.00	$17,650.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,040.31 / $2,480.50 / $6,883.72	Professional		$1,040.31	$2,480.50	$6,883.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,857.45 / $3,339.16 / $5,122.35	Facility		$2,857.45	$3,339.16	$5,122.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,677.46 / $4,362.67 / $4,957.58	Professional		$1,677.46	$4,362.67	$4,957.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,074.88 / $1,438.40 / $2,375.48	Facility		$1,074.88	$1,438.40	$2,375.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,074.88 / $2,130.82 / $13,120.00	Facility		$1,074.88	$2,130.82	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,213.94 / $2,268.73 / $8,097.76	Professional		$1,213.94	$2,268.73	$8,097.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $620.28 / $2,031.58	Professional		$94.25	$620.28	$2,031.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,074.88 / $1,400.59 / $2,375.48	Facility		$1,074.88	$1,400.59	$2,375.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,132.65 / $2,598.55 / $3,879.13	Professional		$2,132.65	$2,598.55	$3,879.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,673.04 / $7,673.04 / $7,673.04	Facility		$7,673.04	$7,673.04	$7,673.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.11 / $5,167.25 / $8,097.76	Professional		$2,041.11	$5,167.25	$8,097.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,560.74 / $3,560.74 / $3,560.74	Professional		$3,560.74	$3,560.74	$3,560.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,989.54 / $6,041.26 / $6,942.97	Professional		$1,989.54	$6,041.26	$6,942.97
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,178.53 / $2,248.31 / $4,717.70	Professional		$1,178.53	$2,248.31	$4,717.70