Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.09 / $2,473.02 / $14,482.00	Facility		$1,174.09	$2,473.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.64 / $1,222.70 / $5,546.90	Professional		$1,128.64	$1,222.70	$5,546.90
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 $1,158.13 / $2,709.47 / $6,913.34	Professional		$1,158.13	$2,709.47	$6,913.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,116.97 / $3,642.43 / $5,587.58	Facility		$3,116.97	$3,642.43	$5,587.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.87 / $4,791.26 / $5,444.61	Professional		$1,761.87	$4,791.26	$5,444.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.09 / $1,648.68 / $2,594.76	Facility		$1,174.09	$1,648.68	$2,594.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.09 / $1,959.38 / $14,246.00	Facility		$1,174.09	$1,959.38	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,323.49 / $2,342.30 / $8,976.48	Professional		$1,323.49	$2,342.30	$8,976.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $735.23 / $2,316.57	Professional		$126.60	$735.23	$2,316.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,174.09 / $1,643.74 / $2,594.76	Facility		$1,174.09	$1,643.74	$2,594.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,410.85 / $2,937.53 / $4,385.14	Professional		$2,410.85	$2,937.53	$4,385.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,978.36 / $9,978.36 / $9,978.36	Facility		$9,978.36	$9,978.36	$9,978.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,241.62 / $5,802.20 / $8,976.48	Professional		$2,241.62	$5,802.20	$8,976.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,887.81 / $3,887.81 / $3,887.81	Professional		$3,887.81	$3,887.81	$3,887.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,519.20 / $5,966.84 / $7,625.03	Professional		$3,519.20	$5,966.84	$7,625.03
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 $1,282.70 / $2,332.17 / $5,280.00	Professional		$1,282.70	$2,332.17	$5,280.00