Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.41 / $2,529.76 / $14,482.00	Facility		$1,226.41	$2,529.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.35 / $1,226.41 / $4,178.32	Professional		$1,183.35	$1,226.41	$4,178.32
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 $1,207.03 / $3,243.49 / $8,288.57	Professional		$1,207.03	$3,243.49	$8,288.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,168.34 / $3,702.45 / $5,971.93	Facility		$3,168.34	$3,702.45	$5,971.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,675.27 / $3,841.42 / $5,072.41	Professional		$1,675.27	$3,841.42	$5,072.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,226.41 / $1,687.00 / $2,417.33	Facility		$1,226.41	$1,687.00	$2,417.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,236.77 / $2,429.00 / $7,700.00	Facility		$1,236.77	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,409.20 / $3,231.33 / $8,234.20	Professional		$1,409.20	$3,231.33	$8,234.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,068.13 / $2,739.63	Professional		$85.00	$1,068.13	$2,739.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,226.41 / $1,687.00 / $2,417.33	Facility		$1,226.41	$1,687.00	$2,417.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,528.50 / $3,890.00 / $4,959.14	Professional		$2,528.50	$3,890.00	$4,959.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,887.68 / $11,887.68 / $11,887.68	Facility		$11,887.68	$11,887.68	$11,887.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,711.87 / $5,875.15 / $9,303.68	Professional		$1,711.87	$5,875.15	$9,303.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,209.01 / $6,209.01 / $6,209.01	Professional		$6,209.01	$6,209.01	$6,209.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,404.32 / $7,263.70 / $7,263.70	Professional		$3,404.32	$7,263.70	$7,263.70
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 $1,295.98 / $3,256.10 / $5,845.69	Professional		$1,295.98	$3,256.10	$5,845.69