Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.33 / $2,986.33 / $14,482.00	Facility		$1,604.33	$2,986.33	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,363.07 / $1,604.33 / $4,332.60	Professional		$1,363.07	$1,604.33	$4,332.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,427.42 / $3,290.93 / $8,479.18	Professional		$1,427.42	$3,290.93	$8,479.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,737.85 / $4,367.97 / $6,700.58	Facility		$3,737.85	$4,367.97	$6,700.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,663.97 / $4,990.06 / $5,968.58	Professional		$1,663.97	$4,990.06	$5,968.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,394.32 / $1,715.86 / $2,904.63	Facility		$1,394.32	$1,715.86	$2,904.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,402.54 / $1,998.23 / $4,821.00	Facility		$1,402.54	$1,998.23	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,579.68 / $3,542.52 / $11,001.04	Professional		$1,579.68	$3,542.52	$11,001.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $1,032.24 / $3,170.93	Professional		$117.62	$1,032.24	$3,170.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,394.32 / $1,775.27 / $2,904.63	Facility		$1,394.32	$1,775.27	$2,904.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,760.00 / $3,680.92 / $6,038.12	Professional		$2,760.00	$3,680.92	$6,038.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,739.15 / $14,055.52 / $14,055.52	Facility		$1,739.15	$14,055.52	$14,055.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,579.03 / $7,153.70 / $11,001.04	Professional		$2,579.03	$7,153.70	$11,001.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,346.52 / $5,346.52 / $5,346.52	Professional		$5,346.52	$5,346.52	$5,346.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,824.59 / $7,287.63 / $7,287.63	Professional		$4,824.59	$7,287.63	$7,287.63
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 $1,492.41 / $2,811.11 / $6,456.21	Professional		$1,492.41	$2,811.11	$6,456.21