Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.76 / $2,522.77 / $14,482.00	Facility		$1,353.76	$2,522.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.33 / $1,353.76 / $3,645.60	Professional		$1,151.33	$1,353.76	$3,645.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,804.00 / $12,444.00	Facility		$5,169.00	$8,804.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,195.81 / $2,776.93 / $7,154.55	Professional		$1,195.81	$2,776.93	$7,154.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,160.23 / $3,692.98 / $5,665.12	Facility		$3,160.23	$3,692.98	$5,665.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,517.94 / $3,321.09 / $5,040.58	Professional		$1,517.94	$3,321.09	$5,040.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,225.83 / $1,554.55 / $2,603.85	Facility		$1,225.83	$1,554.55	$2,603.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,228.86 / $1,786.97 / $12,855.00	Facility		$1,228.86	$1,786.97	$12,855.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,315.38 / $2,920.17 / $11,807.05	Professional		$1,315.38	$2,920.17	$11,807.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $857.33 / $2,618.23	Professional		$90.40	$857.33	$2,618.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,225.83 / $1,542.48 / $2,603.85	Facility		$1,225.83	$1,542.48	$2,603.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,328.00 / $3,104.78 / $5,099.30	Professional		$2,328.00	$3,104.78	$5,099.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,463.94 / $17,785.43 / $17,785.43	Facility		$1,463.94	$17,785.43	$17,785.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,170.10 / $6,020.50 / $11,807.05	Professional		$2,170.10	$6,020.50	$11,807.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,511.29 / $4,511.29 / $4,511.29	Professional		$4,511.29	$4,511.29	$4,511.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,489.59 / $6,154.57 / $6,154.57	Professional		$3,489.59	$6,154.57	$6,154.57
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.09 / $2,776.65 / $6,402.93	Professional		$1,312.09	$2,776.65	$6,402.93