Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,524.06 / $2,829.40 / $14,482.00	Facility		$1,524.06	$2,829.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,331.21 / $1,524.06 / $4,142.50	Professional		$1,331.21	$1,524.06	$4,142.50
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 $1,375.96 / $3,126.28 / $8,066.47	Professional		$1,375.96	$3,126.28	$8,066.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,535.99 / $4,132.09 / $6,338.73	Facility		$3,535.99	$4,132.09	$6,338.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,626.20 / $4,711.64 / $5,667.26	Professional		$1,626.20	$4,711.64	$5,667.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,342.83 / $1,744.23 / $2,742.13	Facility		$1,342.83	$1,744.23	$2,742.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,331.21 / $1,953.78 / $4,821.00	Facility		$1,331.21	$1,953.78	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,499.76 / $3,349.05 / $10,471.12	Professional		$1,499.76	$3,349.05	$10,471.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $977.59 / $2,987.72	Professional		$117.62	$977.59	$2,987.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,342.83 / $1,727.06 / $2,742.13	Facility		$1,342.83	$1,727.06	$2,742.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,618.40 / $3,492.07 / $5,733.29	Professional		$2,618.40	$3,492.07	$5,733.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,661.76 / $26,711.04 / $26,711.04	Facility		$1,661.76	$26,711.04	$26,711.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,455.23 / $6,864.40 / $10,471.12	Professional		$2,455.23	$6,864.40	$10,471.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,086.30 / $5,086.30 / $5,086.30	Professional		$5,086.30	$5,086.30	$5,086.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,620.21 / $6,919.73 / $6,919.73	Professional		$4,620.21	$6,919.73	$6,919.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.20 / $2,824.40 / $6,195.12	Professional		$1,412.20	$2,824.40	$6,195.12