Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.98 / $2,221.23 / $14,482.00	Facility		$1,047.98	$2,221.23	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.41 / $1,142.07 / $4,848.12	Professional		$1,019.41	$1,142.07	$4,848.12
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 $1,019.07 / $2,403.69 / $6,445.37	Professional		$1,019.07	$2,403.69	$6,445.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.58 / $3,273.87 / $5,022.20	Facility		$2,801.58	$3,273.87	$5,022.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,582.30 / $4,474.89 / $5,085.10	Professional		$1,582.30	$4,474.89	$5,085.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.98 / $1,408.00 / $2,306.32	Facility		$1,047.98	$1,408.00	$2,306.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,075.47 / $1,922.55 / $14,246.00	Facility		$1,075.47	$1,922.55	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,115.68 / $2,038.64 / $8,158.32	Professional		$1,115.68	$2,038.64	$8,158.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $676.10 / $2,163.36	Professional		$128.88	$676.10	$2,163.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,047.98 / $1,378.62 / $2,306.32	Facility		$1,047.98	$1,378.62	$2,306.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,277.60 / $2,775.17 / $4,142.78	Professional		$2,277.60	$2,775.17	$4,142.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,923.56 / $11,923.56 / $11,923.56	Facility		$11,923.56	$11,923.56	$11,923.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,014.30 / $5,071.25 / $8,158.32	Professional		$2,014.30	$5,071.25	$8,158.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,457.13 / $3,457.13 / $3,457.13	Professional		$3,457.13	$3,457.13	$3,457.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,989.54 / $5,890.65 / $6,851.75	Professional		$1,989.54	$5,890.65	$6,851.75
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 $1,133.42 / $2,069.07 / $4,866.68	Professional		$1,133.42	$2,069.07	$4,866.68