Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.60 / $2,342.90 / $14,482.00	Facility		$1,256.60	$2,342.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.75 / $1,256.60 / $2,342.90	Professional		$1,025.75	$1,256.60	$2,342.90
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 $1,108.38 / $2,577.67 / $6,637.54	Professional		$1,108.38	$2,577.67	$6,637.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,934.05 / $3,428.67 / $5,259.66	Facility		$2,934.05	$3,428.67	$5,259.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,307.03 / $3,906.15 / $4,679.13	Professional		$1,307.03	$3,906.15	$4,679.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,140.39 / $1,470.23 / $2,530.50	Facility		$1,140.39	$1,470.23	$2,530.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,140.39 / $1,716.00 / $4,821.00	Facility		$1,140.39	$1,716.00	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,212.95 / $2,702.76 / $8,612.16	Professional		$1,212.95	$2,702.76	$8,612.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $803.52 / $2,471.61	Professional		$90.40	$803.52	$2,471.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,140.39 / $1,467.31 / $2,530.50	Facility		$1,140.39	$1,467.31	$2,530.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,161.80 / $2,883.12 / $4,733.64	Professional		$2,161.80	$2,883.12	$4,733.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,357.84 / $11,004.00 / $11,004.00	Facility		$1,357.84	$11,004.00	$11,004.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,992.14 / $5,544.10 / $8,612.16	Professional		$1,992.14	$5,544.10	$8,612.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,185.31 / $4,185.31 / $4,185.31	Professional		$4,185.31	$4,185.31	$4,185.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,221.16 / $5,713.23 / $5,713.23	Professional		$3,221.16	$5,713.23	$5,713.23
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 $1,182.94 / $2,275.01 / $5,003.55	Professional		$1,182.94	$2,275.01	$5,003.55