Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.60 / $2,276.75 / $14,482.00	Facility		$1,079.60	$2,276.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.13 / $1,125.63 / $5,095.53	Professional		$1,037.13	$1,125.63	$5,095.53
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 $1,059.70 / $2,491.40 / $6,346.90	Professional		$1,059.70	$2,491.40	$6,346.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,871.87 / $3,356.01 / $5,148.20	Facility		$2,871.87	$3,356.01	$5,148.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,623.16 / $4,410.24 / $5,011.64	Professional		$1,623.16	$4,410.24	$5,011.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,079.60 / $1,517.84 / $2,512.00	Facility		$1,079.60	$1,517.84	$2,512.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,079.60 / $2,198.05 / $14,246.00	Facility		$1,079.60	$2,198.05	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,169.89 / $2,334.56 / $8,557.67	Professional		$1,169.89	$2,334.56	$8,557.67
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 $1,079.60 / $1,511.45 / $2,512.00	Facility		$1,079.60	$1,511.45	$2,512.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,217.80 / $2,702.30 / $4,034.01	Professional		$2,217.80	$2,702.30	$4,034.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,180.43 / $9,180.43 / $9,180.43	Facility		$9,180.43	$9,180.43	$9,180.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,063.36 / $5,330.05 / $8,557.67	Professional		$2,063.36	$5,330.05	$8,557.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,569.25 / $3,569.25 / $3,569.25	Professional		$3,569.25	$3,569.25	$3,569.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,392.87 / $5,489.98 / $7,018.63	Professional		$3,392.87	$5,489.98	$7,018.63
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 $1,168.22 / $2,132.02 / $4,882.33	Professional		$1,168.22	$2,132.02	$4,882.33