Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.40 / $2,560.61 / $14,482.00	Facility		$1,381.40	$2,560.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,205.54 / $1,381.40 / $3,763.10	Professional		$1,205.54	$1,381.40	$3,763.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,523.00 / $18,603.00	Facility		$7,084.00	$11,523.00	$18,603.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.59 / $2,833.65 / $7,318.09	Professional		$1,250.59	$2,833.65	$7,318.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,200.78 / $3,740.36 / $5,737.81	Facility		$3,200.78	$3,740.36	$5,737.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,695.01 / $4,394.67 / $5,133.08	Professional		$1,695.01	$4,394.67	$5,133.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,259.48 / $1,593.27 / $2,716.00	Facility		$1,259.48	$1,593.27	$2,716.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,251.85 / $1,774.02 / $5,887.00	Facility		$1,251.85	$1,774.02	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,441.30 / $2,737.61 / $9,490.32	Professional		$1,441.30	$2,737.61	$9,490.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,159.38 / $2,872.95	Professional		$119.10	$1,159.38	$2,872.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,259.48 / $1,600.94 / $2,716.00	Facility		$1,259.48	$1,600.94	$2,716.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,371.19 / $3,162.39 / $5,192.88	Professional		$2,371.19	$3,162.39	$5,192.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,507.97 / $19,670.68 / $19,670.68	Facility		$1,507.97	$19,670.68	$19,670.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,042.14 / $6,237.45 / $9,490.32	Professional		$2,042.14	$6,237.45	$9,490.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,614.41 / $4,614.41 / $4,614.41	Professional		$4,614.41	$4,614.41	$4,614.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,167.81 / $6,267.48 / $6,267.48	Professional		$4,167.81	$6,267.48	$6,267.48
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 $1,398.47 / $3,061.21 / $5,629.30	Professional		$1,398.47	$3,061.21	$5,629.30