Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.43 / $2,855.93 / $14,482.00	Facility		$1,538.43	$2,855.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,343.14 / $1,538.43 / $4,178.07	Professional		$1,343.14	$1,538.43	$4,178.07
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 $1,386.00 / $3,155.75 / $8,142.29	Professional		$1,386.00	$3,155.75	$8,142.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,571.14 / $4,173.16 / $6,401.73	Facility		$3,571.14	$4,173.16	$6,401.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,851.68 / $4,757.05 / $5,720.61	Professional		$1,851.68	$4,757.05	$5,720.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,401.49 / $1,902.77 / $2,864.91	Facility		$1,401.49	$1,902.77	$2,864.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,396.23 / $2,153.80 / $4,821.00	Facility		$1,396.23	$2,153.80	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.97 / $3,478.18 / $10,702.45	Professional		$1,548.97	$3,478.18	$10,702.45
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 $1,401.49 / $1,831.79 / $2,864.91	Facility		$1,401.49	$1,831.79	$2,864.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,641.80 / $3,523.28 / $5,787.27	Professional		$2,641.80	$3,523.28	$5,787.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,675.90 / $26,954.24 / $26,954.24	Facility		$1,675.90	$26,954.24	$26,954.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,475.50 / $6,916.05 / $10,702.45	Professional		$2,475.50	$6,916.05	$10,702.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,134.12 / $5,134.12 / $5,134.12	Professional		$5,134.12	$5,134.12	$5,134.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,613.91 / $6,984.92 / $6,984.92	Professional		$4,613.91	$6,984.92	$6,984.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,786.00 / $19,003.00	Facility		$2,203.00	$4,786.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.97 / $3,029.23 / $6,241.74	Professional		$1,548.97	$3,029.23	$6,241.74