Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.28 / $2,409.14 / $14,482.00	Facility		$1,192.28	$2,409.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.44 / $1,227.27 / $4,047.00	Professional		$1,152.44	$1,227.27	$4,047.00
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 $1,147.95 / $3,021.00 / $8,097.33	Professional		$1,147.95	$3,021.00	$8,097.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,017.85 / $3,526.60 / $5,688.28	Facility		$3,017.85	$3,526.60	$5,688.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,595.39 / $3,658.02 / $4,831.89	Professional		$1,595.39	$3,658.02	$4,831.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,177.80 / $1,607.13 / $2,310.00	Facility		$1,177.80	$1,607.13	$2,310.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,192.28 / $2,347.09 / $7,700.00	Facility		$1,192.28	$2,347.09	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,377.54 / $3,075.87 / $7,834.54	Professional		$1,377.54	$3,075.87	$7,834.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,040.64 / $2,663.61	Professional		$85.00	$1,040.64	$2,663.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,192.28 / $1,607.13 / $2,310.00	Facility		$1,192.28	$1,607.13	$2,310.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,406.94 / $3,703.00 / $4,718.46	Professional		$2,406.94	$3,703.00	$4,718.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,317.44 / $11,317.44 / $11,317.44	Facility		$11,317.44	$11,317.44	$11,317.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,630.13 / $5,739.75 / $8,856.87	Professional		$1,630.13	$5,739.75	$8,856.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,065.76 / $6,065.76 / $6,065.76	Professional		$6,065.76	$6,065.76	$6,065.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,618.70 / $6,916.89 / $6,916.89	Professional		$5,618.70	$6,916.89	$6,916.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,377.54 / $3,538.37 / $5,683.02	Professional		$1,377.54	$3,538.37	$5,683.02