Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.38 / $2,228.90 / $14,482.00	Facility		$1,196.38	$2,228.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.86 / $1,196.38 / $3,225.44	Professional		$1,016.86	$1,196.38	$3,225.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,224.00 / $11,448.40	Facility		$5,169.00	$8,224.00	$11,448.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,063.15 / $2,454.12 / $6,319.52	Professional		$1,063.15	$2,454.12	$6,319.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,788.07 / $3,258.07 / $4,997.97	Facility		$2,788.07	$3,258.07	$4,997.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.47 / $3,727.01 / $4,450.64	Professional		$1,335.47	$3,727.01	$4,450.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,066.47 / $1,323.64 / $2,346.39	Facility		$1,066.47	$1,323.64	$2,346.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,059.22 / $1,488.41 / $4,821.00	Facility		$1,059.22	$1,488.41	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,193.21 / $2,684.44 / $8,199.28	Professional		$1,193.21	$2,684.44	$8,199.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $982.51 / $2,381.37	Professional		$94.16	$982.51	$2,381.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,066.47 / $1,337.34 / $2,346.39	Facility		$1,066.47	$1,337.34	$2,346.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,059.19 / $2,746.29 / $4,502.51	Professional		$2,059.19	$2,746.29	$4,502.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,294.96 / $10,474.87 / $10,474.87	Facility		$1,294.96	$10,474.87	$10,474.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,919.64 / $5,320.35 / $8,199.28	Professional		$1,919.64	$5,320.35	$8,199.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,984.74 / $3,984.74 / $3,984.74	Professional		$3,984.74	$3,984.74	$3,984.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.90 / $5,434.28 / $5,434.28	Professional		$3,600.90	$5,434.28	$5,434.28
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 $1,158.51 / $2,232.73 / $4,801.62	Professional		$1,158.51	$2,232.73	$4,801.62