Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.69 / $2,311.83 / $14,482.00	Facility		$1,215.69	$2,311.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,036.83 / $1,215.69 / $3,223.81	Professional		$1,036.83	$1,215.69	$3,223.81
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 $1,068.11 / $2,493.71 / $6,496.20	Professional		$1,068.11	$2,493.71	$6,496.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,901.61 / $3,390.76 / $5,201.51	Facility		$2,901.61	$3,390.76	$5,201.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,236.11 / $3,770.98 / $4,610.99	Professional		$1,236.11	$3,770.98	$4,610.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,088.20 / $1,380.21 / $2,259.82	Facility		$1,088.20	$1,380.21	$2,259.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,088.20 / $1,549.46 / $4,821.00	Facility		$1,088.20	$1,549.46	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,145.20 / $2,574.94 / $8,458.79	Professional		$1,145.20	$2,574.94	$8,458.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $1,038.19 / $2,519.72	Professional		$94.16	$1,038.19	$2,519.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,088.20 / $1,380.07 / $2,259.82	Facility		$1,088.20	$1,380.07	$2,259.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,122.80 / $2,831.11 / $4,664.71	Professional		$2,122.80	$2,831.11	$4,664.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,325.30 / $8,106.54 / $8,106.54	Facility		$1,325.30	$8,106.54	$8,106.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,897.62 / $5,352.25 / $8,458.79	Professional		$1,897.62	$5,352.25	$8,458.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,055.95 / $4,055.95 / $4,055.95	Professional		$4,055.95	$4,055.95	$4,055.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,734.89 / $5,630.02 / $5,630.02	Professional		$3,734.89	$5,630.02	$5,630.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,079.76 / $2,153.94 / $4,830.41	Professional		$1,079.76	$2,153.94	$4,830.41