Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.27 / $2,186.03 / $14,482.00	Facility		$1,175.27	$2,186.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.55 / $1,175.27 / $2,743.38	Professional		$999.55	$1,175.27	$2,743.38
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 $1,041.52 / $2,410.81 / $6,157.41	Professional		$1,041.52	$2,410.81	$6,157.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,740.31 / $3,202.26 / $4,912.35	Facility		$2,740.31	$3,202.26	$4,912.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,235.02 / $3,656.51 / $4,370.51	Professional		$1,235.02	$3,656.51	$4,370.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,066.83 / $1,375.07 / $2,394.00	Facility		$1,066.83	$1,375.07	$2,394.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,066.83 / $1,633.25 / $4,821.00	Facility		$1,066.83	$1,633.25	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,141.08 / $2,546.36 / $8,046.08	Professional		$1,141.08	$2,546.36	$8,046.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $990.96 / $2,381.37	Professional		$94.16	$990.96	$2,381.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,066.83 / $1,373.19 / $2,394.00	Facility		$1,066.83	$1,373.19	$2,394.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,017.20 / $2,690.27 / $4,421.43	Professional		$2,017.20	$2,690.27	$4,421.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,269.05 / $11,563.56 / $11,563.56	Facility		$1,269.05	$11,563.56	$11,563.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,868.06 / $5,214.55 / $8,046.08	Professional		$1,868.06	$5,214.55	$8,046.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,881.69 / $3,881.69 / $3,881.69	Professional		$3,881.69	$3,881.69	$3,881.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,047.47 / $5,336.44 / $5,336.44	Professional		$3,047.47	$5,336.44	$5,336.44
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 $1,091.45 / $2,074.56 / $4,706.13	Professional		$1,091.45	$2,074.56	$4,706.13