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 / $11,523.00 / $18,603.00	Facility		$7,084.00	$11,523.00	$18,603.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,197.82 / $2,769.84 / $7,133.24	Professional		$1,197.82	$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 $1,523.18 / $3,312.63 / $5,024.21	Professional		$1,523.18	$3,312.63	$5,024.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,200.89 / $1,528.66 / $2,614.98	Facility		$1,200.89	$1,528.66	$2,614.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,196.66 / $1,738.39 / $13,120.00	Facility		$1,196.66	$1,738.39	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,317.94 / $2,769.55 / $9,854.73	Professional		$1,317.94	$2,769.55	$9,854.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $864.05 / $2,667.79	Professional		$90.40	$864.05	$2,667.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,177.94 / $1,522.62 / $2,587.14	Facility		$1,177.94	$1,522.62	$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 $7,301.00 / $11,991.00 / $13,980.00	Facility		$7,301.00	$11,991.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.24 / $2,422.54 / $6,222.12	Professional		$1,230.24	$2,422.54	$6,222.12