Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.46 / $2,418.92 / $14,482.00	Facility		$1,201.46	$2,418.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,126.88 / $1,228.06 / $3,986.71	Professional		$1,126.88	$1,228.06	$3,986.71
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 $1,173.33 / $3,044.25 / $8,116.89	Professional		$1,173.33	$3,044.25	$8,116.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,071.02 / $3,588.73 / $5,788.49	Facility		$3,071.02	$3,588.73	$5,788.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,601.87 / $3,721.25 / $4,853.35	Professional		$1,601.87	$3,721.25	$4,853.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,201.46 / $1,642.66 / $4,959.27	Facility		$1,201.46	$1,642.66	$4,959.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,201.46 / $2,488.50 / $7,700.00	Facility		$1,201.46	$2,488.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,374.41 / $3,203.20 / $8,017.71	Professional		$1,374.41	$3,203.20	$8,017.71
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 $1,201.46 / $1,687.65 / $4,959.27	Facility		$1,201.46	$1,687.65	$4,959.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,306.19 / $3,561.13 / $4,828.77	Professional		$2,306.19	$3,561.13	$4,828.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,233.28 / $11,233.28 / $11,233.28	Facility		$11,233.28	$11,233.28	$11,233.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,658.32 / $5,824.00 / $8,934.95	Professional		$1,658.32	$5,824.00	$8,934.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,080.44 / $6,080.44 / $6,080.44	Professional		$6,080.44	$6,080.44	$6,080.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,667.39 / $7,036.50 / $7,036.50	Professional		$3,667.39	$7,036.50	$7,036.50
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 $1,299.18 / $3,563.29 / $6,451.13	Professional		$1,299.18	$3,563.29	$6,451.13