Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.69 / $2,612.29 / $14,482.00	Facility		$1,208.69	$2,612.29	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.33 / $1,208.69 / $4,268.64	Professional		$1,038.33	$1,208.69	$4,268.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $19,370.00	Facility		$7,084.00	$12,066.00	$19,370.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,229.79 / $3,313.01 / $8,288.43	Professional		$1,229.79	$3,313.01	$8,288.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,275.57 / $3,827.76 / $6,174.05	Facility		$3,275.57	$3,827.76	$6,174.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,322.03 / $3,925.08 / $5,245.64	Professional		$2,322.03	$3,925.08	$5,245.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,208.69 / $1,679.66 / $2,496.19	Facility		$1,208.69	$1,679.66	$2,496.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,277.11 / $2,496.19 / $7,700.00	Facility		$1,277.11	$2,496.19	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,451.60 / $3,326.29 / $7,151.04	Professional		$1,451.60	$3,326.29	$7,151.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $808.11 / $2,600.29	Professional		$125.47	$808.11	$2,600.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,208.69 / $1,679.66 / $2,496.19	Facility		$1,208.69	$1,679.66	$2,496.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,570.75 / $3,955.00 / $5,431.38	Professional		$2,570.75	$3,955.00	$5,431.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,615.01 / $10,615.01 / $10,615.01	Facility		$10,615.01	$10,615.01	$10,615.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,442.87 / $6,159.80 / $11,552.00	Professional		$2,442.87	$6,159.80	$11,552.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,518.40 / $5,518.40 / $5,518.40	Professional		$5,518.40	$5,518.40	$5,518.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,295.41 / $6,951.41 / $6,951.41	Professional		$5,295.41	$6,951.41	$6,951.41
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 $1,451.60 / $3,386.05 / $5,399.06	Professional		$1,451.60	$3,386.05	$5,399.06