Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.26 / $2,283.41 / $14,482.00	Facility		$1,082.26	$2,283.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.76 / $1,128.92 / $5,110.20	Professional		$1,039.76	$1,128.92	$5,110.20
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 $1,072.92 / $2,497.52 / $6,364.04	Professional		$1,072.92	$2,497.52	$6,364.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,879.08 / $3,364.43 / $5,161.12	Facility		$2,879.08	$3,364.43	$5,161.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,627.70 / $4,421.91 / $5,024.89	Professional		$1,627.70	$4,421.91	$5,024.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,082.26 / $1,522.28 / $2,391.79	Facility		$1,082.26	$1,522.28	$2,391.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,082.26 / $2,244.21 / $14,246.00	Facility		$1,082.26	$2,244.21	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,184.11 / $2,170.19 / $8,279.36	Professional		$1,184.11	$2,170.19	$8,279.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $660.67 / $2,159.76	Professional		$95.64	$660.67	$2,159.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,082.26 / $1,515.16 / $2,391.79	Facility		$1,082.26	$1,515.16	$2,391.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,224.30 / $2,710.22 / $4,045.83	Professional		$2,224.30	$2,710.22	$4,045.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,149.70 / $13,149.70 / $13,149.70	Facility		$13,149.70	$13,149.70	$13,149.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,068.83 / $5,345.40 / $8,279.36	Professional		$2,068.83	$5,345.40	$8,279.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,578.89 / $3,578.89 / $3,578.89	Professional		$3,578.89	$3,578.89	$3,578.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,700.09 / $5,506.62 / $7,037.24	Professional		$2,700.09	$5,506.62	$7,037.24
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $13,721.00 / $17,327.00	Facility		$7,984.00	$13,721.00	$17,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,171.83 / $2,170.19 / $4,896.39	Professional		$1,171.83	$2,170.19	$4,896.39