Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.66 / $2,321.59 / $14,482.00	Facility		$1,246.66	$2,321.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.33 / $1,246.66 / $3,347.17	Professional		$1,061.33	$1,246.66	$3,347.17
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 $1,107.21 / $2,557.23 / $6,587.21	Professional		$1,107.21	$2,557.23	$6,587.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,911.52 / $3,402.34 / $5,219.28	Facility		$2,911.52	$3,402.34	$5,219.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,279.60 / $3,888.33 / $4,639.05	Professional		$1,279.60	$3,888.33	$4,639.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,130.21 / $1,412.81 / $2,430.46	Facility		$1,130.21	$1,412.81	$2,430.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,108.43 / $1,605.51 / $4,821.00	Facility		$1,108.43	$1,605.51	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,210.24 / $2,657.00 / $8,531.60	Professional		$1,210.24	$2,657.00	$8,531.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $1,039.58 / $2,517.25	Professional		$94.16	$1,039.58	$2,517.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,130.21 / $1,410.01 / $2,430.46	Facility		$1,130.21	$1,410.01	$2,430.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,139.60 / $2,853.51 / $4,693.10	Professional		$2,139.60	$2,853.51	$4,693.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,343.08 / $10,900.80 / $10,900.80	Facility		$1,343.08	$10,900.80	$10,900.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,990.30 / $5,539.25 / $8,531.60	Professional		$1,990.30	$5,539.25	$8,531.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,153.55 / $4,153.55 / $4,153.55	Professional		$4,153.55	$4,153.55	$4,153.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,750.67 / $5,664.31 / $5,664.31	Professional		$3,750.67	$5,664.31	$5,664.31
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 $1,153.48 / $2,360.73 / $4,999.17	Professional		$1,153.48	$2,360.73	$4,999.17