Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.21 / $2,416.05 / $14,482.00	Facility		$1,190.21	$2,416.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.08 / $1,215.55 / $3,942.97	Professional		$1,116.08	$1,215.55	$3,942.97
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 $1,163.99 / $3,015.75 / $8,043.81	Professional		$1,163.99	$3,015.75	$8,043.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,028.66 / $3,539.23 / $5,708.66	Facility		$3,028.66	$3,539.23	$5,708.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,599.96 / $3,668.85 / $4,847.64	Professional		$1,599.96	$3,668.85	$4,847.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,181.18 / $1,564.40 / $2,354.67	Facility		$1,181.18	$1,564.40	$2,354.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,190.21 / $2,429.00 / $7,700.00	Facility		$1,190.21	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,378.96 / $3,178.04 / $7,970.10	Professional		$1,378.96	$3,178.04	$7,970.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $978.90 / $2,547.99	Professional		$85.00	$978.90	$2,547.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,190.21 / $1,629.59 / $2,354.67	Facility		$1,190.21	$1,629.59	$2,354.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,303.60 / $3,557.11 / $4,800.10	Professional		$2,303.60	$3,557.11	$4,800.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,002.00 / $11,002.00 / $11,002.00	Facility		$11,002.00	$11,002.00	$11,002.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,634.97 / $5,778.25 / $9,186.74	Professional		$1,634.97	$5,778.25	$9,186.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.68 / $6,025.68 / $6,025.68	Professional		$6,025.68	$6,025.68	$6,025.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,630.44 / $6,937.39 / $6,937.39	Professional		$5,630.44	$6,937.39	$6,937.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,347.70 / $3,835.35 / $5,673.13	Professional		$1,347.70	$3,835.35	$5,673.13