Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.18 / $2,590.65 / $14,482.00	Facility		$1,217.18	$2,590.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.22 / $1,305.21 / $4,893.45	Professional		$1,099.22	$1,305.21	$4,893.45
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 $1,217.25 / $2,808.88 / $7,241.24	Professional		$1,217.25	$2,808.88	$7,241.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,262.96 / $3,813.02 / $5,849.27	Facility		$3,262.96	$3,813.02	$5,849.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,844.59 / $5,018.08 / $5,702.36	Professional		$1,844.59	$5,018.08	$5,702.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,217.18 / $1,727.10 / $2,689.97	Facility		$1,217.18	$1,727.10	$2,689.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,217.18 / $2,415.00 / $14,246.00	Facility		$1,217.18	$2,415.00	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,398.39 / $2,468.13 / $11,680.42	Professional		$1,398.39	$2,468.13	$11,680.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $765.31 / $2,432.23	Professional		$126.60	$765.31	$2,432.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,217.18 / $1,704.15 / $2,689.97	Facility		$1,217.18	$1,704.15	$2,689.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,526.55 / $3,078.50 / $4,595.60	Professional		$2,526.55	$3,078.50	$4,595.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,452.19 / $10,452.19 / $10,452.19	Facility		$10,452.19	$10,452.19	$10,452.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,347.73 / $6,073.35 / $11,680.42	Professional		$2,347.73	$6,073.35	$11,680.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,072.20 / $4,072.20 / $4,072.20	Professional		$4,072.20	$4,072.20	$4,072.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,693.51 / $6,263.99 / $7,985.97	Professional		$3,693.51	$6,263.99	$7,985.97
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 $1,361.72 / $2,447.69 / $5,526.75	Professional		$1,361.72	$2,447.69	$5,526.75