Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.55 / $2,637.11 / $14,482.00	Facility		$1,417.55	$2,637.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,193.72 / $1,417.55 / $3,677.85	Professional		$1,193.72	$1,417.55	$3,677.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,263.55 / $2,907.80 / $7,437.27	Professional		$1,263.55	$2,907.80	$7,437.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,321.53 / $3,881.47 / $5,954.27	Facility		$3,321.53	$3,881.47	$5,954.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,497.05 / $4,428.43 / $5,278.99	Professional		$1,497.05	$4,428.43	$5,278.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,227.20 / $1,642.62 / $2,648.65	Facility		$1,227.20	$1,642.62	$2,648.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,227.20 / $1,768.97 / $4,821.00	Facility		$1,227.20	$1,768.97	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,349.39 / $2,975.90 / $11,470.21	Professional		$1,349.39	$2,975.90	$11,470.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $1,114.36 / $2,712.26	Professional		$94.16	$1,114.36	$2,712.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,227.20 / $1,642.62 / $2,648.65	Facility		$1,227.20	$1,642.62	$2,648.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,329.19 / $3,106.38 / $5,340.49	Professional		$2,329.19	$3,106.38	$5,340.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,468.20 / $12,060.32 / $12,060.32	Facility		$1,468.20	$12,060.32	$12,060.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,054.33 / $6,287.30 / $11,470.21	Professional		$2,054.33	$6,287.30	$11,470.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,684.51 / $4,684.51 / $4,684.51	Professional		$4,684.51	$4,684.51	$4,684.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,260.39 / $6,445.64 / $6,445.64	Professional		$4,260.39	$6,445.64	$6,445.64
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 $1,339.99 / $2,573.12 / $5,674.29	Professional		$1,339.99	$2,573.12	$5,674.29