Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.28 / $2,642.99 / $14,482.00	Facility		$1,419.28	$2,642.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.08 / $1,419.28 / $3,821.35	Professional		$1,207.08	$1,419.28	$3,821.35
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 $1,261.90 / $2,911.34 / $7,500.33	Professional		$1,261.90	$2,911.34	$7,500.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,310.71 / $3,868.83 / $5,934.89	Facility		$3,310.71	$3,868.83	$5,934.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,471.12 / $4,422.47 / $5,281.01	Professional		$1,471.12	$4,422.47	$5,281.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,287.77 / $1,570.41 / $2,573.66	Facility		$1,287.77	$1,570.41	$2,573.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,264.26 / $1,766.66 / $4,821.00	Facility		$1,264.26	$1,766.66	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,375.03 / $3,032.59 / $9,722.79	Professional		$1,375.03	$3,032.59	$9,722.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,182.86 / $2,863.83	Professional		$119.10	$1,182.86	$2,863.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,287.77 / $1,583.66 / $2,573.66	Facility		$1,287.77	$1,583.66	$2,573.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,439.00 / $3,252.81 / $5,342.54	Professional		$2,439.00	$3,252.81	$5,342.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,533.78 / $13,975.20 / $13,975.20	Facility		$1,533.78	$13,975.20	$13,975.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,273.67 / $6,321.25 / $9,722.79	Professional		$2,273.67	$6,321.25	$9,722.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,729.33 / $4,729.33 / $4,729.33	Professional		$4,729.33	$4,729.33	$4,729.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,269.89 / $6,448.10 / $6,448.10	Professional		$4,269.89	$6,448.10	$6,448.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,786.00 / $19,003.00	Facility		$2,203.00	$4,786.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,338.10 / $2,550.58 / $5,704.93	Professional		$1,338.10	$2,550.58	$5,704.93