Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,488.86 / $2,773.13 / $14,482.00	Facility		$1,488.86	$2,773.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,265.58 / $1,488.86 / $4,014.19	Professional		$1,265.58	$1,488.86	$4,014.19
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 $1,327.85 / $3,054.07 / $7,866.43	Professional		$1,327.85	$3,054.07	$7,866.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,471.11 / $4,056.27 / $6,222.42	Facility		$3,471.11	$4,056.27	$6,222.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,553.79 / $4,637.55 / $5,541.01	Professional		$1,553.79	$4,637.55	$5,541.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,352.39 / $1,726.21 / $2,927.24	Facility		$1,352.39	$1,726.21	$2,927.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,327.47 / $1,902.20 / $4,821.00	Facility		$1,327.47	$1,902.20	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,449.75 / $3,229.74 / $11,913.39	Professional		$1,449.75	$3,229.74	$11,913.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,243.43 / $3,011.30	Professional		$119.10	$1,243.43	$3,011.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,352.39 / $1,725.50 / $2,927.24	Facility		$1,352.39	$1,725.50	$2,927.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,560.80 / $3,415.25 / $5,605.58	Professional		$2,560.80	$3,415.25	$5,605.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,612.09 / $13,042.16 / $13,042.16	Facility		$1,612.09	$13,042.16	$13,042.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,389.80 / $6,635.50 / $11,913.39	Professional		$2,389.80	$6,635.50	$11,913.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,960.17 / $4,960.17 / $4,960.17	Professional		$4,960.17	$4,960.17	$4,960.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,480.14 / $6,765.60 / $6,765.60	Professional		$4,480.14	$6,765.60	$6,765.60
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 $1,363.81 / $3,025.79 / $7,471.53	Professional		$1,363.81	$3,025.79	$7,471.53