Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.41 / $2,679.68 / $14,482.00	Facility		$1,442.41	$2,679.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.45 / $1,442.41 / $3,880.77	Professional		$1,227.45	$1,442.41	$3,880.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,285.22 / $2,958.79 / $7,631.00	Professional		$1,285.22	$2,958.79	$7,631.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,362.98 / $3,929.91 / $6,028.58	Facility		$3,362.98	$3,929.91	$6,028.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,499.54 / $4,485.80 / $5,362.34	Professional		$1,499.54	$4,485.80	$5,362.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,308.57 / $1,670.79 / $2,824.54	Facility		$1,308.57	$1,670.79	$2,824.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,284.56 / $1,843.96 / $4,821.00	Facility		$1,284.56	$1,843.96	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,407.37 / $3,132.36 / $9,867.04	Professional		$1,407.37	$3,132.36	$9,867.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,200.86 / $2,935.29	Professional		$119.10	$1,200.86	$2,935.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,308.57 / $1,648.30 / $2,824.54	Facility		$1,308.57	$1,648.30	$2,824.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,470.80 / $3,295.22 / $5,424.82	Professional		$2,470.80	$3,295.22	$5,424.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,554.88 / $12,606.88 / $12,606.88	Facility		$1,554.88	$12,606.88	$12,606.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,300.41 / $6,427.60 / $9,867.04	Professional		$2,300.41	$6,427.60	$9,867.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,811.72 / $4,811.72 / $4,811.72	Professional		$4,811.72	$4,811.72	$4,811.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,329.18 / $6,547.47 / $6,547.47	Professional		$4,329.18	$6,547.47	$6,547.47
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 $1,301.60 / $2,501.44 / $5,800.91	Professional		$1,301.60	$2,501.44	$5,800.91