Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.99 / $2,482.46 / $14,482.00	Facility		$1,222.99	$2,482.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.39 / $1,248.63 / $4,057.06	Professional		$1,147.39	$1,248.63	$4,057.06
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 $1,194.13 / $3,173.93 / $8,266.62	Professional		$1,194.13	$3,173.93	$8,266.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,114.27 / $3,639.27 / $5,870.02	Facility		$3,114.27	$3,639.27	$5,870.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,643.94 / $3,771.16 / $4,983.64	Professional		$1,643.94	$3,771.16	$4,983.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,213.65 / $1,608.49 / $3,743.76	Facility		$1,213.65	$1,608.49	$3,743.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,222.99 / $2,803.00 / $7,700.00	Facility		$1,222.99	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,379.17 / $3,262.82 / $7,137.61	Professional		$1,379.17	$3,262.82	$7,137.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $997.88 / $2,564.11	Professional		$85.00	$997.88	$2,564.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,213.65 / $1,608.49 / $3,743.76	Facility		$1,213.65	$1,608.49	$3,743.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,365.35 / $3,652.46 / $4,925.16	Professional		$2,365.35	$3,652.46	$4,925.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,306.24 / $11,306.24 / $11,306.24	Facility		$11,306.24	$11,306.24	$11,306.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,680.55 / $5,932.40 / $10,092.95	Professional		$1,680.55	$5,932.40	$10,092.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,192.60 / $6,192.60 / $6,192.60	Professional		$6,192.60	$6,192.60	$6,192.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,793.37 / $7,130.85 / $7,130.85	Professional		$5,793.37	$7,130.85	$7,130.85
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 $1,304.30 / $3,626.85 / $5,723.20	Professional		$1,304.30	$3,626.85	$5,723.20