Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.54 / $3,119.00 / $14,482.00	Facility		$1,214.54	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.67 / $1,214.54 / $2,263.16	Professional		$1,021.67	$1,214.54	$2,263.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $8,918.76	Facility		$2,740.00	$4,931.00	$8,918.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.55 / $2,491.36 / $6,374.69	Professional		$1,045.55	$2,491.36	$6,374.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,859.25 / $3,341.26 / $5,125.58	Facility		$2,859.25	$3,341.26	$5,125.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.98 / $3,750.39 / $4,524.72	Professional		$1,182.98	$3,750.39	$4,524.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,042.42 / $1,287.49 / $2,193.31	Facility		$1,042.42	$1,287.49	$2,193.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,042.42 / $1,470.00 / $8,806.00	Facility		$1,042.42	$1,470.00	$8,806.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,108.33 / $2,454.98 / $8,202.56	Professional		$1,108.33	$2,454.98	$8,202.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $951.24 / $2,318.66	Professional		$94.16	$951.24	$2,318.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,037.57 / $1,287.49 / $2,193.31	Facility		$1,037.57	$1,287.49	$2,193.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,994.40 / $2,659.86 / $4,577.45	Professional		$1,994.40	$2,659.86	$4,577.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,246.93 / $7,929.30 / $7,929.30	Facility		$1,246.93	$7,929.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,749.31 / $5,323.05 / $8,202.56	Professional		$1,749.31	$5,323.05	$8,202.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,010.94 / $4,010.94 / $4,010.94	Professional		$4,010.94	$4,010.94	$4,010.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,656.26 / $5,524.76 / $5,524.76	Professional		$3,656.26	$5,524.76	$5,524.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,953.00 / $12,062.00	Facility		$4,240.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.60 / $2,157.19 / $4,804.05	Professional		$1,064.60	$2,157.19	$4,804.05