Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,343.33 / $2,503.98 / $14,482.00	Facility		$1,343.33	$2,503.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.71 / $1,343.33 / $3,051.63	Professional		$1,097.71	$1,343.33	$3,051.63
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 $1,186.23 / $2,755.55 / $7,107.34	Professional		$1,186.23	$2,755.55	$7,107.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,137.70 / $3,666.65 / $5,624.74	Facility		$3,137.70	$3,666.65	$5,624.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,384.61 / $4,196.62 / $4,995.26	Professional		$1,384.61	$4,196.62	$4,995.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,194.34 / $1,516.25 / $2,442.71	Facility		$1,194.34	$1,516.25	$2,442.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,194.34 / $1,716.00 / $4,821.00	Facility		$1,194.34	$1,716.00	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,289.30 / $2,819.92 / $9,181.28	Professional		$1,289.30	$2,819.92	$9,181.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $856.15 / $2,629.56	Professional		$90.40	$856.15	$2,629.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,194.34 / $1,508.38 / $2,442.71	Facility		$1,194.34	$1,508.38	$2,442.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,305.19 / $3,074.37 / $5,053.46	Professional		$2,305.19	$3,074.37	$5,053.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,443.76 / $10,264.66 / $10,264.66	Facility		$1,443.76	$10,264.66	$10,264.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,140.83 / $5,957.75 / $9,181.28	Professional		$2,140.83	$5,957.75	$9,181.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,481.52 / $4,481.52 / $4,481.52	Professional		$4,481.52	$4,481.52	$4,481.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,045.32 / $6,099.20 / $6,099.20	Professional		$4,045.32	$6,099.20	$6,099.20
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 $1,234.20 / $2,383.10 / $5,376.87	Professional		$1,234.20	$2,383.10	$5,376.87