Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.17 / $2,565.25 / $14,482.00	Facility		$1,366.17	$2,565.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.68 / $1,366.17 / $3,621.83	Professional		$1,166.68	$1,366.17	$3,621.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,201.01 / $2,802.40 / $7,198.69	Professional		$1,201.01	$2,802.40	$7,198.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,218.80 / $3,761.42 / $5,770.12	Facility		$3,218.80	$3,761.42	$5,770.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,381.29 / $4,229.02 / $5,109.64	Professional		$1,381.29	$4,229.02	$5,109.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,138.20 / $1,459.34 / $2,642.95	Facility		$1,138.20	$1,459.34	$2,642.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,166.68 / $1,681.41 / $4,821.00	Facility		$1,166.68	$1,681.41	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,282.09 / $2,852.96 / $9,363.76	Professional		$1,282.09	$2,852.96	$9,363.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $1,132.45 / $2,757.41	Professional		$94.16	$1,132.45	$2,757.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,093.60 / $1,459.34 / $2,653.00	Facility		$1,093.60	$1,459.34	$2,653.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,352.00 / $3,136.78 / $5,169.16	Professional		$2,352.00	$3,136.78	$5,169.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,464.18 / $13,461.21 / $13,461.21	Facility		$1,464.18	$13,461.21	$13,461.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,153.19 / $6,002.35 / $9,363.76	Professional		$2,153.19	$6,002.35	$9,363.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,531.03 / $4,531.03 / $4,531.03	Professional		$4,531.03	$4,531.03	$4,531.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,144.30 / $6,238.87 / $6,238.87	Professional		$4,144.30	$6,238.87	$6,238.87
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 $1,267.98 / $2,414.38 / $6,219.27	Professional		$1,267.98	$2,414.38	$6,219.27