Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.35 / $2,571.21 / $14,482.00	Facility		$1,222.35	$2,571.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.78 / $1,304.65 / $4,856.72	Professional		$1,175.78	$1,304.65	$4,856.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,205.71 / $2,820.83 / $7,199.22	Professional		$1,205.71	$2,820.83	$7,199.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,240.43 / $3,786.70 / $5,808.89	Facility		$3,240.43	$3,786.70	$5,808.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,835.38 / $4,984.60 / $5,664.33	Professional		$1,835.38	$4,984.60	$5,664.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,222.35 / $1,714.14 / $2,701.42	Facility		$1,222.35	$1,714.14	$2,701.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,222.35 / $2,456.92 / $11,100.00	Facility		$1,222.35	$2,456.92	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,385.75 / $2,449.16 / $9,344.56	Professional		$1,385.75	$2,449.16	$9,344.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $758.76 / $2,404.07	Professional		$126.60	$758.76	$2,404.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,222.35 / $1,711.30 / $2,701.42	Facility		$1,222.35	$1,711.30	$2,701.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,508.35 / $3,056.33 / $4,562.50	Professional		$2,508.35	$3,056.33	$4,562.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,385.62 / $10,385.62 / $10,385.62	Facility		$10,385.62	$10,385.62	$10,385.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,332.08 / $6,052.45 / $9,344.56	Professional		$2,332.08	$6,052.45	$9,344.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,048.57 / $4,048.57 / $4,048.57	Professional		$4,048.57	$4,048.57	$4,048.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,552.75 / $6,230.23 / $7,932.72	Professional		$3,552.75	$6,230.23	$7,932.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,368.84 / $2,432.52 / $5,525.89	Professional		$1,368.84	$2,432.52	$5,525.89