Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,556.24 / $2,892.69 / $14,482.00	Facility		$1,556.24	$2,892.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.97 / $1,556.24 / $4,191.99	Professional		$1,323.97	$1,556.24	$4,191.99
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 $1,386.44 / $3,192.28 / $8,235.46	Professional		$1,386.44	$3,192.28	$8,235.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,628.81 / $4,240.55 / $6,505.12	Facility		$3,628.81	$4,240.55	$6,505.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.32 / $4,840.68 / $5,786.20	Professional		$1,618.32	$4,840.68	$5,786.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,414.20 / $1,799.90 / $3,412.50	Facility		$1,414.20	$1,799.90	$3,412.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.15 / $1,977.36 / $5,637.96	Facility		$1,412.15	$1,977.36	$5,637.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,519.46 / $3,375.35 / $10,649.84	Professional		$1,519.46	$3,375.35	$10,649.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,290.26 / $3,230.70	Professional		$119.10	$1,290.26	$3,230.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,412.15 / $1,768.17 / $3,412.50	Facility		$1,412.15	$1,768.17	$3,412.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,668.80 / $3,559.29 / $5,853.62	Professional		$2,668.80	$3,559.29	$5,853.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,679.11 / $13,607.04 / $13,607.04	Facility		$1,679.11	$13,607.04	$13,607.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,486.87 / $6,939.35 / $10,649.84	Professional		$2,486.87	$6,939.35	$10,649.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,192.85 / $5,192.85 / $5,192.85	Professional		$5,192.85	$5,192.85	$5,192.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,275.12 / $7,064.97 / $7,064.97	Professional		$4,275.12	$7,064.97	$7,064.97
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 $1,488.22 / $2,947.94 / $6,582.71	Professional		$1,488.22	$2,947.94	$6,582.71