Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.26 / $2,331.16 / $14,482.00	Facility		$1,148.26	$2,331.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.90 / $1,173.05 / $3,803.93	Professional		$1,076.90	$1,173.05	$3,803.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,152.00	Facility		$5,060.00	$7,979.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.33 / $2,979.63 / $7,761.26	Professional		$1,122.33	$2,979.63	$7,761.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,924.13 / $3,417.08 / $5,511.63	Facility		$2,924.13	$3,417.08	$5,511.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,543.74 / $3,541.90 / $4,678.70	Professional		$1,543.74	$3,541.90	$4,678.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,139.68 / $1,508.53 / $2,272.36	Facility		$1,139.68	$1,508.53	$2,272.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.26 / $2,429.00 / $7,700.00	Facility		$1,148.26	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,323.47 / $3,067.02 / $7,689.73	Professional		$1,323.47	$3,067.02	$7,689.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $945.77 / $2,471.98	Professional		$85.00	$945.77	$2,471.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,148.26 / $1,518.90 / $2,272.36	Facility		$1,148.26	$1,518.90	$2,272.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,221.69 / $3,430.65 / $4,631.24	Professional		$2,221.69	$3,430.65	$4,631.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,620.88 / $10,620.88 / $10,620.88	Facility		$10,620.88	$10,620.88	$10,620.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,578.39 / $5,576.40 / $8,483.04	Professional		$1,578.39	$5,576.40	$8,483.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,814.02 / $5,814.02 / $5,814.02	Professional		$5,814.02	$5,814.02	$5,814.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,431.91 / $6,697.34 / $6,697.34	Professional		$5,431.91	$6,697.34	$6,697.34
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 $1,225.31 / $3,273.85 / $5,473.14	Professional		$1,225.31	$3,273.85	$5,473.14