Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.81 / $2,473.73 / $14,482.00	Facility		$1,171.81	$2,473.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,125.27 / $1,222.83 / $5,529.50	Professional		$1,125.27	$1,222.83	$5,529.50
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 $1,160.93 / $2,704.19 / $6,885.30	Professional		$1,160.93	$2,704.19	$6,885.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,119.68 / $3,645.59 / $5,592.43	Facility		$3,119.68	$3,645.59	$5,592.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,763.89 / $4,790.45 / $5,443.69	Professional		$1,763.89	$4,790.45	$5,443.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,171.81 / $1,649.16 / $2,637.60	Facility		$1,171.81	$1,649.16	$2,637.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,171.81 / $2,432.30 / $14,246.00	Facility		$1,171.81	$2,432.30	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,311.28 / $2,351.19 / $10,751.99	Professional		$1,311.28	$2,351.19	$10,751.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $724.88 / $2,323.66	Professional		$126.60	$724.88	$2,323.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,171.81 / $1,640.53 / $2,637.60	Facility		$1,171.81	$1,640.53	$2,637.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,408.25 / $2,934.36 / $4,380.42	Professional		$2,408.25	$2,934.36	$4,380.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,120.40 / $7,120.40 / $7,120.40	Facility		$7,120.40	$7,120.40	$7,120.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,241.23 / $5,784.00 / $10,751.99	Professional		$2,241.23	$5,784.00	$10,751.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,872.03 / $3,872.03 / $3,872.03	Professional		$3,872.03	$3,872.03	$3,872.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,758.02 / $5,955.60 / $7,623.71	Professional		$3,758.02	$5,955.60	$7,623.71
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 $1,272.48 / $2,313.60 / $5,263.44	Professional		$1,272.48	$2,313.60	$5,263.44