Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,551.11 / $2,883.67 / $14,482.00	Facility		$1,551.11	$2,883.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,321.61 / $1,551.11 / $4,163.89	Professional		$1,321.61	$1,551.11	$4,163.89
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 $1,379.58 / $3,181.76 / $8,217.56	Professional		$1,379.58	$3,181.76	$8,217.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,619.80 / $4,230.02 / $6,488.96	Facility		$3,619.80	$4,230.02	$6,488.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,608.99 / $4,833.52 / $5,762.94	Professional		$1,608.99	$4,833.52	$5,762.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,379.91 / $1,793.45 / $2,813.55	Facility		$1,379.91	$1,793.45	$2,813.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,379.91 / $1,982.93 / $4,821.00	Facility		$1,379.91	$1,982.93	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,491.90 / $3,268.91 / $10,590.72	Professional		$1,491.90	$3,268.91	$10,590.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,275.99 / $3,082.75	Professional		$119.10	$1,275.99	$3,082.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,379.91 / $1,757.48 / $2,813.55	Facility		$1,379.91	$1,757.48	$2,813.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,654.40 / $3,540.08 / $5,830.08	Professional		$2,654.40	$3,540.08	$5,830.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,664.96 / $11,841.48 / $11,841.48	Facility		$1,664.96	$11,841.48	$11,841.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,464.55 / $6,906.35 / $10,590.72	Professional		$2,464.55	$6,906.35	$10,590.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,181.56 / $5,181.56 / $5,181.56	Professional		$5,181.56	$5,181.56	$5,181.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,658.72 / $7,036.58 / $7,036.58	Professional		$4,658.72	$7,036.58	$7,036.58
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 $1,456.14 / $2,747.62 / $6,232.98	Professional		$1,456.14	$2,747.62	$6,232.98