Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,295.88 / $2,420.35 / $14,482.00	Facility		$1,295.88	$2,420.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.81 / $1,295.88 / $4,313.60	Professional		$1,103.81	$1,295.88	$4,313.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,150.57 / $2,437.42 / $6,764.08	Professional		$1,150.57	$2,437.42	$6,764.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,051.19 / $3,565.56 / $5,469.66	Facility		$3,051.19	$3,565.56	$5,469.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,277.11 / $2,326.28 / $4,820.01	Professional		$1,277.11	$2,326.28	$4,820.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,130.48 / $1,610.80 / $3,413.79	Facility		$1,130.48	$1,610.80	$3,413.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,290.84 / $3,227.13 / $15,126.00	Facility		$1,290.84	$3,227.13	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,244.95 / $1,947.99 / $6,503.88	Professional		$1,244.95	$1,947.99	$6,503.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $737.66 / $2,310.14	Professional		$82.07	$737.66	$2,310.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,130.48 / $1,610.80 / $3,413.79	Facility		$1,130.48	$1,610.80	$3,413.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,248.63 / $2,883.12 / $4,876.18	Professional		$2,248.63	$2,883.12	$4,876.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,221.88 / $16,547.20 / $16,547.20	Facility		$11,221.88	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,632.70 / $4,930.97 / $8,754.48	Professional		$1,632.70	$4,930.97	$8,754.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.09 / $4,265.09 / $4,265.09	Professional		$4,265.09	$4,265.09	$4,265.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,985.32 / $5,885.28 / $5,885.28	Professional		$3,985.32	$5,885.28	$5,885.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,192.94 / $2,284.83 / $5,033.83	Professional		$1,192.94	$2,284.83	$5,033.83