Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,284.60 / $3,082.03 / $9,245.00	Facility		$1,284.60	$3,082.03	$9,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,095.14 / $1,436.14 / $4,606.33	Professional		$1,095.14	$1,436.14	$4,606.33
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 $1,472.42 / $3,642.47 / $8,379.18	Professional		$1,472.42	$3,642.47	$8,379.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,946.00 / $4,611.22 / $7,437.73	Facility		$3,946.00	$4,611.22	$7,437.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,749.90 / $4,207.47 / $6,172.68	Professional		$1,749.90	$4,207.47	$6,172.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.43 / $1,661.27 / $2,517.25	Facility		$1,174.43	$1,661.27	$2,517.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.43 / $2,295.46 / $14,978.00	Facility		$1,174.43	$2,295.46	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,565.89 / $4,686.50 / $8,879.17	Professional		$1,565.89	$4,686.50	$8,879.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $1,044.30 / $3,259.11	Professional		$106.67	$1,044.30	$3,259.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,174.43 / $1,661.27 / $2,517.25	Facility		$1,174.43	$1,661.27	$2,517.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,624.96 / $3,661.52 / $5,380.65	Professional		$2,624.96	$3,661.52	$5,380.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,250.36 / $8,250.36 / $8,250.36	Facility		$8,250.36	$8,250.36	$8,250.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,619.55 / $6,314.76 / $11,116.88	Professional		$1,619.55	$6,314.76	$11,116.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,224.03 / $4,224.03 / $5,474.84	Professional		$4,224.03	$4,224.03	$5,474.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,731.00 / $5,837.89 / $7,536.87	Professional		$3,731.00	$5,837.89	$7,536.87
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.88 / $4,117.30 / $7,261.50	Professional		$1,479.88	$4,117.30	$7,261.50