Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,324.17 / $14,482.00	Facility		$1,145.00	$2,324.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.86 / $1,169.57 / $3,790.76	Professional		$1,073.86	$1,169.57	$3,790.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,119.60 / $2,901.20 / $7,738.29	Professional		$1,119.60	$2,901.20	$7,738.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,915.12 / $3,406.55 / $5,494.65	Facility		$2,915.12	$3,406.55	$5,494.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,539.13 / $3,530.56 / $4,664.38	Professional		$1,539.13	$3,530.56	$4,664.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $1,567.45 / $4,142.64	Facility		$1,145.00	$1,567.45	$4,142.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,429.00 / $7,700.00	Facility		$1,145.00	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,319.37 / $3,057.26 / $7,664.56	Professional		$1,319.37	$3,057.26	$7,664.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $945.77 / $2,471.98	Professional		$85.00	$945.77	$2,471.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $1,567.45 / $4,142.64	Facility		$1,145.00	$1,567.45	$4,142.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,214.55 / $3,419.61 / $4,616.09	Professional		$2,214.55	$3,419.61	$4,616.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,586.56 / $10,586.56 / $10,586.56	Facility		$10,586.56	$10,586.56	$10,586.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,573.33 / $5,558.65 / $8,455.76	Professional		$1,573.33	$5,558.65	$8,455.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,796.80 / $5,796.80 / $5,796.80	Professional		$5,796.80	$5,796.80	$5,796.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,094.84 / $6,675.87 / $6,675.87	Professional		$3,094.84	$6,675.87	$6,675.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,319.37 / $3,176.25 / $5,457.65	Professional		$1,319.37	$3,176.25	$5,457.65