Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,317.32 / $2,471.02 / $14,482.00	Facility		$1,317.32	$2,471.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,095.11 / $1,317.32 / $3,543.57	Professional		$1,095.11	$1,317.32	$3,543.57
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 $1,145.02 / $2,696.56 / $6,945.04	Professional		$1,145.02	$2,696.56	$6,945.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,107.96 / $3,631.90 / $5,571.43	Facility		$3,107.96	$3,631.90	$5,571.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.79 / $4,050.87 / $4,919.08	Professional		$1,302.79	$4,050.87	$4,919.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,020.80 / $1,317.88 / $2,394.67	Facility		$1,020.80	$1,317.88	$2,394.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,098.23 / $1,532.53 / $4,821.00	Facility		$1,098.23	$1,532.53	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,211.39 / $2,721.35 / $8,989.04	Professional		$1,211.39	$2,721.35	$8,989.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $849.74 / $2,609.57	Professional		$90.40	$849.74	$2,609.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,020.80 / $1,317.88 / $2,394.67	Facility		$1,020.80	$1,317.88	$2,394.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,257.19 / $3,010.35 / $4,976.39	Professional		$2,257.19	$3,010.35	$4,976.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,399.41 / $11,487.84 / $11,487.84	Facility		$1,399.41	$11,487.84	$11,487.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,968.36 / $5,749.50 / $8,989.04	Professional		$1,968.36	$5,749.50	$8,989.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,379.20 / $4,379.20 / $4,379.20	Professional		$4,379.20	$4,379.20	$4,379.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,855.62 / $6,006.22 / $6,006.22	Professional		$3,855.62	$6,006.22	$6,006.22
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 $1,169.10 / $2,328.02 / $5,188.92	Professional		$1,169.10	$2,328.02	$5,188.92