Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.24 / $2,255.85 / $14,482.00	Facility		$1,071.24	$2,255.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.41 / $1,140.83 / $5,051.31	Professional		$1,029.41	$1,140.83	$5,051.31
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 $1,058.07 / $2,472.08 / $6,305.13	Professional		$1,058.07	$2,472.08	$6,305.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,845.74 / $3,325.47 / $5,101.35	Facility		$2,845.74	$3,325.47	$5,101.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,607.52 / $4,372.12 / $4,968.31	Professional		$1,607.52	$4,372.12	$4,968.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.24 / $1,566.24 / $2,367.44	Facility		$1,071.24	$1,566.24	$2,367.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.24 / $2,024.00 / $11,100.00	Facility		$1,071.24	$2,024.00	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,206.36 / $2,137.31 / $8,741.03	Professional		$1,206.36	$2,137.31	$8,741.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $647.57 / $2,088.96	Professional		$95.64	$647.57	$2,088.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,071.24 / $1,553.76 / $2,367.44	Facility		$1,071.24	$1,553.76	$2,367.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,198.30 / $2,678.54 / $3,998.54	Professional		$2,198.30	$2,678.54	$3,998.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,103.43 / $9,103.43 / $9,103.43	Facility		$9,103.43	$9,103.43	$9,103.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,045.53 / $5,283.80 / $8,741.03	Professional		$2,045.53	$5,283.80	$8,741.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,545.78 / $3,545.78 / $3,545.78	Professional		$3,545.78	$3,545.78	$3,545.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,206.94 / $5,450.29 / $6,957.98	Professional		$3,206.94	$5,450.29	$6,957.98
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 $1,188.26 / $2,314.30 / $5,186.31	Professional		$1,188.26	$2,314.30	$5,186.31