Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.33 / $2,283.73 / $14,482.00	Facility		$1,130.33	$2,283.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,064.20 / $1,130.33 / $3,447.96	Professional		$1,064.20	$1,130.33	$3,447.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $9,695.00 / $15,668.00	Facility		$1,183.00	$9,695.00	$15,668.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,087.20 / $2,864.03 / $7,672.05	Professional		$1,087.20	$2,864.03	$7,672.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,861.96 / $3,344.42 / $5,394.44	Facility		$2,861.96	$3,344.42	$5,394.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,512.33 / $3,466.54 / $4,582.78	Professional		$1,512.33	$3,466.54	$4,582.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,116.49 / $1,522.08 / $2,225.79	Facility		$1,116.49	$1,522.08	$2,225.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,116.49 / $2,247.00 / $4,514.00	Facility		$1,116.49	$2,247.00	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,218.02 / $2,898.08 / $7,413.74	Professional		$1,218.02	$2,898.08	$7,413.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $969.42 / $2,434.70	Professional		$85.00	$969.42	$2,434.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,130.33 / $1,522.08 / $2,225.79	Facility		$1,130.33	$1,522.08	$2,225.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,280.19 / $3,508.00 / $4,465.02	Professional		$2,280.19	$3,508.00	$4,465.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,378.67 / $9,378.67 / $9,378.67	Facility		$9,378.67	$9,378.67	$9,378.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,544.81 / $5,435.10 / $8,389.36	Professional		$1,544.81	$5,435.10	$8,389.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,747.19 / $5,747.19 / $5,747.19	Professional		$5,747.19	$5,747.19	$5,747.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,923.58 / $6,554.84 / $6,554.84	Professional		$4,923.58	$6,554.84	$6,554.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,068.00 / $4,985.00	Facility		$2,367.00	$3,068.00	$4,985.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.10 / $2,989.31 / $5,424.77	Professional		$1,172.10	$2,989.31	$5,424.77