Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,350.30 / $4,480.81 / $14,482.00	Facility		$1,350.30	$4,480.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,149.30 / $1,350.30 / $3,627.19	Professional		$1,149.30	$1,350.30	$3,627.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,485.00 / $19,370.00	Facility		$7,084.00	$11,485.00	$19,370.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,196.63 / $2,769.84 / $7,133.24	Professional		$1,196.63	$2,769.84	$7,133.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,153.02 / $3,684.55 / $5,652.20	Facility		$3,153.02	$3,684.55	$5,652.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,519.39 / $3,312.63 / $5,024.21	Professional		$1,519.39	$3,312.63	$5,024.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,200.89 / $1,528.66 / $2,610.25	Facility		$1,200.89	$1,528.66	$2,610.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,196.66 / $1,738.39 / $11,100.00	Facility		$1,196.66	$1,738.39	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,317.19 / $2,769.55 / $9,854.73	Professional		$1,317.19	$2,769.55	$9,854.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $883.64 / $2,705.57	Professional		$65.00	$883.64	$2,705.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,177.94 / $1,520.26 / $2,587.14	Facility		$1,177.94	$1,520.26	$2,587.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,317.80 / $3,091.17 / $5,082.75	Professional		$2,317.80	$3,091.17	$5,082.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.76 / $17,713.68 / $17,713.68	Facility		$1,455.76	$17,713.68	$17,713.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,998.83 / $6,005.10 / $9,854.73	Professional		$1,998.83	$6,005.10	$9,854.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,497.84 / $4,497.84 / $4,497.84	Professional		$4,497.84	$4,497.84	$4,497.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,061.79 / $6,134.58 / $6,134.58	Professional		$4,061.79	$6,134.58	$6,134.58
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $10,264.00 / $12,705.00	Facility		$6,241.00	$10,264.00	$12,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,304.80 / $2,557.82 / $5,419.60	Professional		$1,304.80	$2,557.82	$5,419.60