Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.97 / $2,132.89 / $14,482.00	Facility		$1,054.97	$2,132.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.29 / $1,054.97 / $3,342.73	Professional		$1,010.29	$1,054.97	$3,342.73
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 $1,002.56 / $2,616.50 / $7,163.43	Professional		$1,002.56	$2,616.50	$7,163.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,673.62 / $3,124.34 / $5,039.45	Facility		$2,673.62	$3,124.34	$5,039.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.44 / $3,237.30 / $4,282.13	Professional		$1,412.44	$3,237.30	$4,282.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,042.75 / $1,403.58 / $2,038.09	Facility		$1,042.75	$1,403.58	$2,038.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,054.97 / $2,149.55 / $7,700.00	Facility		$1,054.97	$2,149.55	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,136.33 / $2,769.37 / $6,914.08	Professional		$1,136.33	$2,769.37	$6,914.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $709.76 / $2,261.72	Professional		$62.69	$709.76	$2,261.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,054.97 / $1,403.58 / $2,038.09	Facility		$1,054.97	$1,403.58	$2,038.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,127.44 / $3,273.00 / $4,164.08	Professional		$2,127.44	$3,273.00	$4,164.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,009.28 / $20,009.28 / $20,009.28	Facility		$20,009.28	$20,009.28	$20,009.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,442.65 / $5,069.95 / $7,830.64	Professional		$1,442.65	$5,069.95	$7,830.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,366.17 / $5,366.17 / $5,366.17	Professional		$5,366.17	$5,366.17	$5,366.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,882.66 / $6,121.39 / $6,121.39	Professional		$4,882.66	$6,121.39	$6,121.39
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 $1,135.74 / $2,954.96 / $5,028.47	Professional		$1,135.74	$2,954.96	$5,028.47