Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.39 / $2,457.79 / $14,482.00	Facility		$1,320.39	$2,457.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.69 / $1,320.39 / $3,549.26	Professional		$1,123.69	$1,320.39	$3,549.26
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 $1,173.02 / $2,708.48 / $6,978.51	Professional		$1,173.02	$2,708.48	$6,978.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,081.83 / $3,601.36 / $5,524.58	Facility		$3,081.83	$3,601.36	$5,524.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,372.55 / $4,114.17 / $4,912.64	Professional		$1,372.55	$4,114.17	$4,912.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,197.78 / $1,544.86 / $2,619.21	Facility		$1,197.78	$1,544.86	$2,619.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,197.78 / $1,790.51 / $4,821.00	Facility		$1,197.78	$1,790.51	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,283.01 / $2,825.30 / $9,038.24	Professional		$1,283.01	$2,825.30	$9,038.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $829.94 / $2,571.03	Professional		$90.40	$829.94	$2,571.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,174.93 / $1,540.20 / $2,587.00	Facility		$1,174.93	$1,540.20	$2,587.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,265.60 / $3,021.56 / $4,969.89	Professional		$2,265.60	$3,021.56	$4,969.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,423.86 / $11,547.68 / $11,547.68	Facility		$1,423.86	$11,547.68	$11,547.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,108.48 / $5,872.35 / $9,038.24	Professional		$2,108.48	$5,872.35	$9,038.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,400.29 / $4,400.29 / $4,400.29	Professional		$4,400.29	$4,400.29	$4,400.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,126.42 / $5,998.36 / $5,998.36	Professional		$3,126.42	$5,998.36	$5,998.36
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 $1,221.40 / $2,348.94 / $5,320.35	Professional		$1,221.40	$2,348.94	$5,320.35