Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.32 / $3,256.11 / $14,482.00	Facility		$1,751.32	$3,256.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,492.07 / $1,751.32 / $4,700.50	Professional		$1,492.07	$1,751.32	$4,700.50
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 $1,551.86 / $3,592.45 / $9,274.01	Professional		$1,551.86	$3,592.45	$9,274.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,085.68 / $4,774.43 / $7,324.11	Facility		$4,085.68	$4,774.43	$7,324.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,804.44 / $5,458.48 / $6,505.23	Professional		$1,804.44	$5,458.48	$6,505.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,572.90 / $1,961.13 / $3,176.65	Facility		$1,572.90	$1,961.13	$3,176.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,572.90 / $2,172.60 / $4,821.00	Facility		$1,572.90	$2,172.60	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,690.50 / $3,727.54 / $11,955.60	Professional		$1,690.50	$3,727.54	$11,955.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $1,109.15 / $3,398.06	Professional		$143.10	$1,109.15	$3,398.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,572.90 / $1,963.22 / $3,176.65	Facility		$1,572.90	$1,963.22	$3,176.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,997.60 / $3,997.80 / $6,581.02	Professional		$2,997.60	$3,997.80	$6,581.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,879.75 / $13,366.99 / $13,366.99	Facility		$1,879.75	$13,366.99	$13,366.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,783.74 / $7,788.70 / $11,955.60	Professional		$2,783.74	$7,788.70	$11,955.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,847.71 / $5,847.71 / $5,847.71	Professional		$5,847.71	$5,847.71	$5,847.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,260.43 / $7,942.88 / $7,942.88	Professional		$5,260.43	$7,942.88	$7,942.88
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 $1,643.18 / $3,199.38 / $7,111.08	Professional		$1,643.18	$3,199.38	$7,111.08