Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.72 / $2,264.13 / $14,482.00	Facility		$1,217.72	$2,264.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.91 / $1,217.72 / $3,261.72	Professional		$1,037.91	$1,217.72	$3,261.72
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 $1,083.83 / $2,497.88 / $6,440.35	Professional		$1,083.83	$2,497.88	$6,440.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,846.64 / $3,326.52 / $5,102.97	Facility		$2,846.64	$3,326.52	$5,102.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.32 / $3,797.51 / $4,530.01	Professional		$1,249.32	$3,797.51	$4,530.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,102.64 / $1,403.51 / $2,209.94	Facility		$1,102.64	$1,403.51	$2,209.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,081.31 / $1,517.36 / $4,821.00	Facility		$1,081.31	$1,517.36	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.56 / $2,573.92 / $8,320.40	Professional		$1,174.56	$2,573.92	$8,320.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $1,020.72 / $2,448.26	Professional		$94.16	$1,020.72	$2,448.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,058.81 / $1,378.89 / $2,209.94	Facility		$1,058.81	$1,378.89	$2,209.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,083.19 / $2,778.29 / $4,582.79	Professional		$2,083.19	$2,778.29	$4,582.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,306.61 / $10,630.72 / $10,630.72	Facility		$1,306.61	$10,630.72	$10,630.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,932.78 / $5,418.60 / $8,320.40	Professional		$1,932.78	$5,418.60	$8,320.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,060.95 / $4,060.95 / $4,060.95	Professional		$4,060.95	$4,060.95	$4,060.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,657.83 / $5,531.14 / $5,531.14	Professional		$3,657.83	$5,531.14	$5,531.14
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 $1,108.14 / $2,163.16 / $4,890.29	Professional		$1,108.14	$2,163.16	$4,890.29