Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.11 / $2,362.67 / $14,482.00	Facility		$1,122.11	$2,362.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.78 / $1,168.09 / $5,311.68	Professional		$1,079.78	$1,168.09	$5,311.68
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 $1,114.79 / $2,447.67 / $6,606.88	Professional		$1,114.79	$2,447.67	$6,606.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,974.60 / $3,476.05 / $5,332.35	Facility		$2,974.60	$3,476.05	$5,332.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,821.47 / $4,577.77 / $5,202.01	Professional		$1,821.47	$4,577.77	$5,202.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.11 / $1,495.82 / $2,479.89	Facility		$1,122.11	$1,495.82	$2,479.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.11 / $2,095.69 / $14,246.00	Facility		$1,122.11	$2,095.69	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,280.44 / $2,436.79 / $8,583.92	Professional		$1,280.44	$2,436.79	$8,583.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $701.66 / $2,222.72	Professional		$95.64	$701.66	$2,222.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,122.11 / $1,472.58 / $2,479.89	Facility		$1,122.11	$1,472.58	$2,479.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,305.55 / $2,809.22 / $4,193.62	Professional		$2,305.55	$2,809.22	$4,193.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,450.96 / $5,450.96 / $5,450.96	Facility		$5,450.96	$5,450.96	$5,450.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,141.73 / $5,556.15 / $8,583.92	Professional		$2,141.73	$5,556.15	$8,583.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.46 / $3,715.46 / $3,715.46	Professional		$3,715.46	$3,715.46	$3,715.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,974.75 / $5,713.89 / $7,285.25	Professional		$2,974.75	$5,713.89	$7,285.25
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 $1,240.59 / $2,342.78 / $5,332.01	Professional		$1,240.59	$2,342.78	$5,332.01