Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.58 / $2,275.88 / $14,482.00	Facility		$1,223.58	$2,275.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.69 / $1,223.58 / $3,277.59	Professional		$1,042.69	$1,223.58	$3,277.59
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 $1,085.55 / $2,509.94 / $6,469.63	Professional		$1,085.55	$2,509.94	$6,469.63
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 $1,268.95 / $3,816.63 / $4,551.30	Professional		$1,268.95	$3,816.63	$4,551.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,110.65 / $1,411.22 / $2,220.94	Facility		$1,110.65	$1,411.22	$2,220.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,108.27 / $1,519.77 / $4,821.00	Facility		$1,108.27	$1,519.77	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,179.84 / $2,599.92 / $8,361.20	Professional		$1,179.84	$2,599.92	$8,361.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $1,028.61 / $2,511.58	Professional		$94.16	$1,028.61	$2,511.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,064.33 / $1,383.74 / $2,220.94	Facility		$1,064.33	$1,383.74	$2,220.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,094.00 / $2,792.70 / $4,604.33	Professional		$2,094.00	$2,792.70	$4,604.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,313.52 / $10,682.32 / $10,682.32	Facility		$1,313.52	$10,682.32	$10,682.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,943.02 / $5,436.85 / $8,361.20	Professional		$1,943.02	$5,436.85	$8,361.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,079.42 / $4,079.42 / $4,079.42	Professional		$4,079.42	$4,079.42	$4,079.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,605.35 / $5,557.13 / $5,557.13	Professional		$2,605.35	$5,557.13	$5,557.13
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 $1,135.15 / $2,381.34 / $4,906.76	Professional		$1,135.15	$2,381.34	$4,906.76