Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.55 / $2,242.06 / $14,482.00	Facility		$1,062.55	$2,242.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.56 / $1,108.36 / $5,013.07	Professional		$1,020.56	$1,108.36	$5,013.07
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 $1,049.98 / $2,452.04 / $6,247.88	Professional		$1,049.98	$2,452.04	$6,247.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,826.81 / $3,303.36 / $5,067.43	Facility		$2,826.81	$3,303.36	$5,067.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,598.44 / $4,342.39 / $4,934.55	Professional		$1,598.44	$4,342.39	$4,934.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,062.55 / $1,494.71 / $2,348.23	Facility		$1,062.55	$1,494.71	$2,348.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,062.55 / $2,024.00 / $14,246.00	Facility		$1,062.55	$2,024.00	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,193.14 / $2,128.86 / $8,128.96	Professional		$1,193.14	$2,128.86	$8,128.96
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 $1,062.55 / $1,488.55 / $2,348.23	Facility		$1,062.55	$1,488.55	$2,348.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,183.35 / $2,660.33 / $3,971.35	Professional		$2,183.35	$2,660.33	$3,971.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,455.40 / $6,455.40 / $6,455.40	Facility		$6,455.40	$6,455.40	$6,455.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,031.63 / $5,243.80 / $8,128.96	Professional		$2,031.63	$5,243.80	$8,128.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,513.57 / $3,513.57 / $3,513.57	Professional		$3,513.57	$3,513.57	$3,513.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,199.93 / $5,402.99 / $6,910.67	Professional		$3,199.93	$5,402.99	$6,910.67
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 $1,162.77 / $2,120.60 / $4,771.85	Professional		$1,162.77	$2,120.60	$4,771.85