Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.63 / $1,157.63 / $14,482.00	Facility		$1,157.63	$1,157.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.16 / $1,186.06 / $1,881.89	Professional		$1,103.16	$1,186.06	$1,881.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,150.28 / $2,671.45 / $7,175.24	Professional		$1,150.28	$2,671.45	$7,175.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,586.21 / $3,022.20 / $4,636.13	Facility		$2,586.21	$3,022.20	$4,636.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.53 / $4,017.39 / $4,565.21	Professional		$1,500.53	$4,017.39	$4,565.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,051.38 / $1,503.65 / $2,378.09	Facility		$1,051.38	$1,503.65	$2,378.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,127.74 / $1,881.89 / $13,120.00	Facility		$1,127.74	$1,881.89	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.86 / $1,813.44 / $9,587.96	Professional		$1,071.86	$1,813.44	$9,587.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $2,686.50	Professional		$55.00	$85.00	$2,686.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,127.74 / $1,503.65 / $2,378.09	Facility		$1,127.74	$1,503.65	$2,378.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,266.73 / $2,876.54 / $4,124.50	Professional		$2,266.73	$2,876.54	$4,124.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,517.70 / $15,517.70 / $15,517.70	Facility		$15,517.70	$15,517.70	$15,517.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,197.16 / $5,724.60 / $9,587.96	Professional		$2,197.16	$5,724.60	$9,587.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,223.99 / $3,223.99 / $3,223.99	Professional		$3,223.99	$3,223.99	$3,223.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,903.99 / $6,499.52 / $6,499.52	Professional		$3,903.99	$6,499.52	$6,499.52
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 $1,071.86 / $1,904.41 / $4,152.78	Professional		$1,071.86	$1,904.41	$4,152.78