Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.99 / $2,267.17 / $14,482.00	Facility		$1,075.99	$2,267.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.60 / $1,121.02 / $5,067.42	Professional		$1,033.60	$1,121.02	$5,067.42
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 $1,049.57 / $2,483.05 / $6,328.64	Professional		$1,049.57	$2,483.05	$6,328.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,860.15 / $3,342.32 / $5,127.20	Facility		$2,860.15	$3,342.32	$5,127.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,616.60 / $4,392.42 / $4,991.39	Professional		$1,616.60	$4,392.42	$4,991.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,075.99 / $1,559.52 / $2,519.08	Facility		$1,075.99	$1,559.52	$2,519.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,075.99 / $2,228.37 / $14,246.00	Facility		$1,075.99	$2,228.37	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,213.10 / $2,144.78 / $8,223.44	Professional		$1,213.10	$2,144.78	$8,223.44
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 $1,075.99 / $1,559.52 / $2,519.08	Facility		$1,075.99	$1,559.52	$2,519.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,208.69 / $2,691.22 / $4,017.46	Professional		$2,208.69	$2,691.22	$4,017.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,142.70 / $9,142.70 / $9,142.70	Facility		$9,142.70	$9,142.70	$9,142.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,055.02 / $5,300.65 / $8,223.44	Professional		$2,055.02	$5,300.65	$8,223.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,558.99 / $3,558.99 / $3,558.99	Professional		$3,558.99	$3,558.99	$3,558.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,197.48 / $5,468.98 / $6,990.28	Professional		$3,197.48	$5,468.98	$6,990.28
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.99 / $2,235.40 / $4,823.59	Professional		$1,174.99	$2,235.40	$4,823.59