Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.02 / $2,621.03 / $14,482.00	Facility		$1,407.02	$2,621.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,196.28 / $1,407.02 / $3,285.87	Professional		$1,196.28	$1,407.02	$3,285.87
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 $1,252.60 / $2,886.20 / $7,435.67	Professional		$1,252.60	$2,886.20	$7,435.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,281.88 / $3,835.14 / $5,883.20	Facility		$3,281.88	$3,835.14	$5,883.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,464.81 / $4,384.22 / $5,236.85	Professional		$1,464.81	$4,384.22	$5,236.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,276.66 / $1,628.39 / $2,551.41	Facility		$1,276.66	$1,628.39	$2,551.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,254.11 / $1,781.95 / $4,821.00	Facility		$1,254.11	$1,781.95	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.67 / $3,091.80 / $9,644.56	Professional		$1,380.67	$3,091.80	$9,644.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,165.50 / $2,863.83	Professional		$119.10	$1,165.50	$2,863.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,276.66 / $1,599.15 / $2,551.41	Facility		$1,276.66	$1,599.15	$2,551.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,419.80 / $3,227.21 / $5,297.86	Professional		$2,419.80	$3,227.21	$5,297.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,522.36 / $12,322.24 / $12,322.24	Facility		$1,522.36	$12,322.24	$12,322.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,257.35 / $6,266.10 / $9,644.56	Professional		$2,257.35	$6,266.10	$9,644.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,688.54 / $4,688.54 / $4,688.54	Professional		$4,688.54	$4,688.54	$4,688.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,234.41 / $6,394.21 / $6,394.21	Professional		$4,234.41	$6,394.21	$6,394.21
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 $1,361.27 / $2,534.36 / $5,655.16	Professional		$1,361.27	$2,534.36	$5,655.16