Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.95 / $4,442.76 / $14,482.00	Facility		$1,340.95	$4,442.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.95 / $1,340.95 / $3,619.11	Professional		$1,139.95	$1,340.95	$3,619.11
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 $1,188.24 / $2,750.67 / $7,094.97	Professional		$1,188.24	$2,750.67	$7,094.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,124.18 / $3,650.86 / $5,600.51	Facility		$3,124.18	$3,650.86	$5,600.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.91 / $4,167.93 / $4,985.93	Professional		$1,412.91	$4,167.93	$4,985.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,217.84 / $1,568.77 / $2,740.06	Facility		$1,217.84	$1,568.77	$2,740.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,217.84 / $1,727.94 / $4,821.00	Facility		$1,217.84	$1,727.94	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,315.34 / $2,932.68 / $9,184.32	Professional		$1,315.34	$2,932.68	$9,184.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $857.33 / $2,618.23	Professional		$90.40	$857.33	$2,618.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,214.40 / $1,551.09 / $2,744.92	Facility		$1,214.40	$1,551.09	$2,744.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,302.19 / $3,070.37 / $5,044.03	Professional		$2,302.19	$3,070.37	$5,044.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,450.27 / $11,734.24 / $11,734.24	Facility		$1,450.27	$11,734.24	$11,734.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,148.75 / $5,989.70 / $9,184.32	Professional		$2,148.75	$5,989.70	$9,184.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,473.72 / $4,473.72 / $4,473.72	Professional		$4,473.72	$4,473.72	$4,473.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,744.76 / $6,087.85 / $6,087.85	Professional		$3,744.76	$6,087.85	$6,087.85
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 $1,308.65 / $2,762.45 / $5,405.70	Professional		$1,308.65	$2,762.45	$5,405.70