Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.32 / $2,579.26 / $14,482.00	Facility		$1,387.32	$2,579.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.14 / $1,387.32 / $3,728.56	Professional		$1,181.14	$1,387.32	$3,728.56
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 $1,230.35 / $2,845.78 / $7,338.72	Professional		$1,230.35	$2,845.78	$7,338.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,237.72 / $3,783.54 / $5,804.04	Facility		$3,237.72	$3,783.54	$5,804.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,440.76 / $4,319.70 / $5,158.89	Professional		$1,440.76	$4,319.70	$5,158.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,260.56 / $1,604.88 / $2,514.36	Facility		$1,260.56	$1,604.88	$2,514.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,257.78 / $1,727.00 / $4,821.00	Facility		$1,257.78	$1,727.00	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,345.01 / $2,979.43 / $9,488.08	Professional		$1,345.01	$2,979.43	$9,488.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $883.64 / $2,705.57	Professional		$90.40	$883.64	$2,705.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,207.89 / $1,572.91 / $2,514.36	Facility		$1,207.89	$1,572.91	$2,514.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,376.60 / $3,169.59 / $5,219.00	Professional		$2,376.60	$3,169.59	$5,219.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,493.83 / $12,123.68 / $12,123.68	Facility		$1,493.83	$12,123.68	$12,123.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,210.29 / $6,178.80 / $9,488.08	Professional		$2,210.29	$6,178.80	$9,488.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,627.43 / $4,627.43 / $4,627.43	Professional		$4,627.43	$4,627.43	$4,627.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,166.95 / $6,299.04 / $6,299.04	Professional		$4,166.95	$6,299.04	$6,299.04
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 $1,323.40 / $2,706.31 / $5,576.37	Professional		$1,323.40	$2,706.31	$5,576.37