Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.60 / $2,492.84 / $14,482.00	Facility		$1,340.60	$2,492.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.72 / $1,340.60 / $3,603.67	Professional		$1,144.72	$1,340.60	$3,603.67
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 $1,191.72 / $2,749.95 / $7,093.80	Professional		$1,191.72	$2,749.95	$7,093.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,128.69 / $3,656.12 / $5,608.58	Facility		$3,128.69	$3,656.12	$5,608.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,406.71 / $4,175.10 / $4,985.45	Professional		$1,406.71	$4,175.10	$4,985.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,217.47 / $1,568.50 / $2,769.83	Facility		$1,217.47	$1,568.50	$2,769.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,215.55 / $1,825.24 / $4,821.00	Facility		$1,215.55	$1,825.24	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,313.66 / $2,909.31 / $9,168.87	Professional		$1,313.66	$2,909.31	$9,168.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $860.23 / $2,629.34	Professional		$90.40	$860.23	$2,629.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,217.47 / $1,561.90 / $2,769.83	Facility		$1,217.47	$1,561.90	$2,769.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,297.40 / $3,063.97 / $5,043.54	Professional		$2,297.40	$3,063.97	$5,043.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,443.47 / $11,715.28 / $11,715.28	Facility		$1,443.47	$11,715.28	$11,715.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.11 / $5,971.20 / $9,168.87	Professional		$2,137.11	$5,971.20	$9,168.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,472.99 / $4,472.99 / $4,472.99	Professional		$4,472.99	$4,472.99	$4,472.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,027.33 / $6,087.30 / $6,087.30	Professional		$4,027.33	$6,087.30	$6,087.30
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 $1,233.94 / $2,388.48 / $5,723.78	Professional		$1,233.94	$2,388.48	$5,723.78