Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.14 / $2,238.53 / $14,482.00	Facility		$1,207.14	$2,238.53	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.00 / $1,207.14 / $3,111.72	Professional		$1,015.00	$1,207.14	$3,111.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,051.07 / $2,476.17 / $6,322.58	Professional		$1,051.07	$2,476.17	$6,322.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,829.52 / $3,306.51 / $5,072.28	Facility		$2,829.52	$3,306.51	$5,072.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,369.15 / $3,694.47 / $4,487.78	Professional		$1,369.15	$3,694.47	$4,487.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,074.95 / $1,412.35 / $2,262.50	Facility		$1,074.95	$1,412.35	$2,262.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,045.07 / $1,586.52 / $4,821.00	Facility		$1,045.07	$1,586.52	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,135.24 / $2,481.92 / $9,419.54	Professional		$1,135.24	$2,481.92	$9,419.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $951.28 / $2,333.10	Professional		$94.16	$951.28	$2,333.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,045.07 / $1,412.35 / $2,262.50	Facility		$1,045.07	$1,412.35	$2,262.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,982.40 / $2,643.86 / $4,540.07	Professional		$1,982.40	$2,643.86	$4,540.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,246.67 / $8,985.20 / $8,985.20	Facility		$1,246.67	$8,985.20	$8,985.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,752.40 / $5,243.65 / $9,419.54	Professional		$1,752.40	$5,243.65	$9,419.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,971.88 / $3,971.88 / $3,971.88	Professional		$3,971.88	$3,971.88	$3,971.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,616.46 / $5,479.55 / $5,479.55	Professional		$3,616.46	$5,479.55	$5,479.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,129.13 / $2,086.13 / $4,732.39	Professional		$1,129.13	$2,086.13	$4,732.39