Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,213.32 / $2,462.80 / $14,482.00	Facility		$1,213.32	$2,462.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.63 / $1,239.86 / $4,020.49	Professional		$1,137.63	$1,239.86	$4,020.49
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 $1,186.95 / $3,074.30 / $8,202.07	Professional		$1,186.95	$3,074.30	$8,202.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,087.24 / $3,607.68 / $5,819.06	Facility		$3,087.24	$3,607.68	$5,819.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,630.93 / $3,740.08 / $4,940.70	Professional		$1,630.93	$3,740.08	$4,940.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,204.04 / $1,594.68 / $2,400.11	Facility		$1,204.04	$1,594.68	$2,400.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,213.32 / $2,456.19 / $7,700.00	Facility		$1,213.32	$2,456.19	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,366.74 / $3,214.31 / $8,130.16	Professional		$1,366.74	$3,214.31	$8,130.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $994.61 / $2,547.99	Professional		$85.00	$994.61	$2,547.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,213.32 / $1,661.73 / $2,400.11	Facility		$1,213.32	$1,661.73	$2,400.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,347.15 / $3,624.36 / $4,896.49	Professional		$2,347.15	$3,624.36	$4,896.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,214.80 / $11,214.80 / $11,214.80	Facility		$11,214.80	$11,214.80	$11,214.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,666.69 / $5,893.95 / $9,503.76	Professional		$1,666.69	$5,893.95	$9,503.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,144.24 / $6,144.24 / $6,144.24	Professional		$6,144.24	$6,144.24	$6,144.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,741.14 / $7,072.04 / $7,072.04	Professional		$5,741.14	$7,072.04	$7,072.04
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 $1,366.74 / $3,911.00 / $5,783.24	Professional		$1,366.74	$3,911.00	$5,783.24