Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,107.71 / $2,248.88 / $14,482.00	Facility		$1,107.71	$2,248.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.05 / $1,137.50 / $3,666.75	Professional		$1,039.05	$1,137.50	$3,666.75
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 $1,082.27 / $2,869.65 / $7,481.95	Professional		$1,082.27	$2,869.65	$7,481.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,820.51 / $3,295.98 / $5,316.31	Facility		$2,820.51	$3,295.98	$5,316.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,489.25 / $3,415.71 / $4,514.06	Professional		$1,489.25	$3,415.71	$4,514.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,099.45 / $1,456.53 / $2,355.00	Facility		$1,099.45	$1,456.53	$2,355.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,107.71 / $2,429.00 / $7,700.00	Facility		$1,107.71	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,255.70 / $2,957.05 / $7,411.76	Professional		$1,255.70	$2,957.05	$7,411.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $900.04 / $2,291.33	Professional		$85.00	$900.04	$2,291.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,107.71 / $1,515.18 / $2,355.00	Facility		$1,107.71	$1,515.18	$2,355.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,143.05 / $3,309.20 / $4,463.83	Professional		$2,143.05	$3,309.20	$4,463.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,240.64 / $10,240.64 / $10,240.64	Facility		$10,240.64	$10,240.64	$10,240.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,522.15 / $5,376.45 / $8,473.45	Professional		$1,522.15	$5,376.45	$8,473.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,604.80 / $5,604.80 / $5,604.80	Professional		$5,604.80	$5,604.80	$5,604.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,236.01 / $6,458.69 / $6,458.69	Professional		$5,236.01	$6,458.69	$6,458.69
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 $1,246.49 / $3,155.25 / $5,279.89	Professional		$1,246.49	$3,155.25	$5,279.89