Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.57 / $2,574.31 / $14,482.00	Facility		$1,381.57	$2,574.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.71 / $1,381.57 / $3,721.95	Professional		$1,174.71	$1,381.57	$3,721.95
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 $1,227.61 / $2,834.00 / $7,299.07	Professional		$1,227.61	$2,834.00	$7,299.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,222.41 / $3,765.64 / $5,776.58	Facility		$3,222.41	$3,765.64	$5,776.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.48 / $4,306.56 / $5,142.39	Professional		$1,434.48	$4,306.56	$5,142.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,254.54 / $1,615.69 / $2,506.08	Facility		$1,254.54	$1,615.69	$2,506.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,254.54 / $1,774.38 / $4,821.00	Facility		$1,254.54	$1,774.38	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,351.24 / $2,998.82 / $9,470.48	Professional		$1,351.24	$2,998.82	$9,470.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,165.50 / $2,863.83	Professional		$119.10	$1,165.50	$2,863.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,252.41 / $1,595.91 / $2,506.08	Facility		$1,252.41	$1,595.91	$2,506.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,377.19 / $3,170.39 / $5,202.32	Professional		$2,377.19	$3,170.39	$5,202.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,494.88 / $12,100.72 / $12,100.72	Facility		$1,494.88	$12,100.72	$12,100.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,217.14 / $6,148.45 / $9,470.48	Professional		$2,217.14	$6,148.45	$9,470.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,602.43 / $4,602.43 / $4,602.43	Professional		$4,602.43	$4,602.43	$4,602.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,158.95 / $6,278.89 / $6,278.89	Professional		$4,158.95	$6,278.89	$6,278.89
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 $1,319.58 / $2,461.58 / $5,548.98	Professional		$1,319.58	$2,461.58	$5,548.98