Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,636.77 / $2,863.94 / $14,482.00	Facility		$1,636.77	$2,863.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.97 / $1,636.77 / $5,104.17	Professional		$1,071.97	$1,636.77	$5,104.17
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 $1,329.87 / $3,628.91 / $7,956.93	Professional		$1,329.87	$3,628.91	$7,956.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,281.88 / $3,835.14 / $6,185.94	Facility		$3,281.88	$3,835.14	$6,185.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,418.44 / $3,913.50 / $5,749.59	Professional		$2,418.44	$3,913.50	$5,749.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,365.90 / $1,636.77 / $2,736.65	Facility		$1,365.90	$1,636.77	$2,736.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,470.00 / $2,736.65 / $7,700.00	Facility		$1,470.00	$2,736.65	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,591.30 / $4,270.89 / $9,410.39	Professional		$1,591.30	$4,270.89	$9,410.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $911.14 / $2,909.61	Professional		$117.62	$911.14	$2,909.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,365.90 / $1,636.77 / $2,736.65	Facility		$1,365.90	$1,636.77	$2,736.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,837.90 / $4,366.00 / $5,394.83	Professional		$2,837.90	$4,366.00	$5,394.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,825.43 / $10,825.43 / $10,825.43	Facility		$10,825.43	$10,825.43	$10,825.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,269.57 / $6,630.40 / $9,699.04	Professional		$2,269.57	$6,630.40	$9,699.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,269.16 / $3,269.16 / $3,269.16	Professional		$3,269.16	$3,269.16	$3,269.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,166.39 / $7,637.57 / $7,637.57	Professional		$2,166.39	$7,637.57	$7,637.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,591.30 / $4,656.89 / $5,927.58	Professional		$1,591.30	$4,656.89	$5,927.58