Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.36 / $2,390.87 / $14,482.00	Facility		$1,139.36	$2,390.87	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.96 / $1,182.28 / $5,421.00	Professional		$1,097.96	$1,182.28	$5,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,217.00 / $15,287.53	Facility		$5,169.00	$8,217.00	$15,287.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,133.84 / $2,629.32 / $6,722.24	Professional		$1,133.84	$2,629.32	$6,722.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,009.74 / $3,517.12 / $5,395.35	Facility		$3,009.74	$3,517.12	$5,395.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.30 / $4,637.88 / $5,270.31	Professional		$1,778.30	$4,637.88	$5,270.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,139.36 / $1,700.18 / $2,518.01	Facility		$1,139.36	$1,700.18	$2,518.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,139.36 / $2,341.80 / $13,120.00	Facility		$1,139.36	$2,341.80	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,328.15 / $2,393.15 / $9,637.49	Professional		$1,328.15	$2,393.15	$9,637.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $716.59 / $2,253.07	Professional		$95.64	$716.59	$2,253.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,139.36 / $1,657.23 / $2,518.01	Facility		$1,139.36	$1,657.23	$2,518.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,337.40 / $2,848.03 / $4,251.55	Professional		$2,337.40	$2,848.03	$4,251.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,910.85 / $6,910.85 / $6,910.85	Facility		$6,910.85	$6,910.85	$6,910.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,169.86 / $5,670.50 / $9,637.49	Professional		$2,169.86	$5,670.50	$9,637.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,780.33 / $3,780.33 / $3,780.33	Professional		$3,780.33	$3,780.33	$3,780.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,459.94 / $5,825.51 / $7,380.89	Professional		$3,459.94	$5,825.51	$7,380.89
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,246.17 / $2,313.56 / $5,160.16	Professional		$1,246.17	$2,313.56	$5,160.16