Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.35 / $2,352.01 / $14,482.00	Facility		$1,158.35	$2,352.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.33 / $1,183.35 / $3,836.69	Professional		$1,086.33	$1,183.35	$3,836.69
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 $1,132.32 / $3,001.71 / $7,828.54	Professional		$1,132.32	$3,001.71	$7,828.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,949.37 / $3,446.57 / $5,559.19	Facility		$2,949.37	$3,446.57	$5,559.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,557.55 / $3,572.36 / $4,720.22	Professional		$1,557.55	$3,572.36	$4,720.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,149.86 / $1,521.93 / $2,292.61	Facility		$1,149.86	$1,521.93	$2,292.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,158.35 / $2,429.00 / $7,700.00	Facility		$1,158.35	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,330.81 / $3,093.50 / $7,757.18	Professional		$1,330.81	$3,093.50	$7,757.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $965.54 / $2,471.98	Professional		$85.00	$965.54	$2,471.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,158.35 / $1,585.25 / $2,292.61	Facility		$1,158.35	$1,585.25	$2,292.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,241.85 / $3,461.76 / $4,671.85	Professional		$2,241.85	$3,461.76	$4,671.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,711.76 / $10,711.76 / $10,711.76	Facility		$10,711.76	$10,711.76	$10,711.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,591.96 / $5,624.55 / $8,556.08	Professional		$1,591.96	$5,624.55	$8,556.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,864.44 / $5,864.44 / $5,864.44	Professional		$5,864.44	$5,864.44	$5,864.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,478.67 / $6,754.92 / $6,754.92	Professional		$5,478.67	$6,754.92	$6,754.92
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 $1,304.26 / $3,302.62 / $5,521.27	Professional		$1,304.26	$3,302.62	$5,521.27