Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.03 / $2,671.24 / $14,482.00	Facility		$1,272.03	$2,671.24	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.96 / $1,314.45 / $5,490.50	Professional		$1,219.96	$1,314.45	$5,490.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,166.83 / $2,815.53 / $7,650.54	Professional		$1,166.83	$2,815.53	$7,650.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,367.49 / $3,935.17 / $6,036.66	Facility		$3,367.49	$3,935.17	$6,036.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,904.61 / $5,170.68 / $5,875.79	Professional		$1,904.61	$5,170.68	$5,875.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,272.03 / $1,780.83 / $2,811.19	Facility		$1,272.03	$1,780.83	$2,811.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,272.03 / $2,496.80 / $14,246.00	Facility		$1,272.03	$2,496.80	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,333.47 / $2,327.59 / $9,908.28	Professional		$1,333.47	$2,327.59	$9,908.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $784.42 / $2,492.74	Professional		$126.60	$784.42	$2,492.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,266.95 / $1,709.10 / $2,811.19	Facility		$1,266.95	$1,709.10	$2,811.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,585.69 / $3,150.58 / $4,703.18	Professional		$2,585.69	$3,150.58	$4,703.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,436.10 / $21,436.10 / $21,436.10	Facility		$21,436.10	$21,436.10	$21,436.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,409.42 / $5,743.20 / $9,908.28	Professional		$2,409.42	$5,743.20	$9,908.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,209.08 / $4,209.08 / $4,209.08	Professional		$4,209.08	$4,209.08	$4,209.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,898.23 / $5,919.87 / $8,228.79	Professional		$3,898.23	$5,919.87	$8,228.79
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,319.88 / $2,515.52 / $5,511.52	Professional		$1,319.88	$2,515.52	$5,511.52