Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.53 / $2,194.42 / $14,482.00	Facility		$1,080.53	$2,194.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.68 / $1,136.67 / $3,971.60	Professional		$1,013.68	$1,136.67	$3,971.60
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 $1,055.23 / $2,791.65 / $7,302.33	Professional		$1,055.23	$2,791.65	$7,302.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,752.92 / $3,217.01 / $5,188.92	Facility		$2,752.92	$3,217.01	$5,188.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.20 / $3,332.79 / $4,403.82	Professional		$1,453.20	$3,332.79	$4,403.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,072.83 / $1,420.84 / $2,139.71	Facility		$1,072.83	$1,420.84	$2,139.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,080.53 / $2,429.00 / $7,700.00	Facility		$1,080.53	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.03 / $2,882.99 / $7,228.92	Professional		$1,258.03	$2,882.99	$7,228.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $882.25 / $2,291.33	Professional		$85.00	$882.25	$2,291.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,072.83 / $1,420.84 / $2,139.71	Facility		$1,072.83	$1,420.84	$2,139.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,091.69 / $3,229.91 / $4,353.72	Professional		$2,091.69	$3,229.91	$4,353.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,742.23 / $8,742.23 / $8,742.23	Facility		$8,742.23	$8,742.23	$8,742.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,485.20 / $5,241.80 / $8,118.48	Professional		$1,485.20	$5,241.80	$8,118.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,470.21 / $5,470.21 / $5,470.21	Professional		$5,470.21	$5,470.21	$5,470.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,085.19 / $6,301.93 / $6,301.93	Professional		$4,085.19	$6,301.93	$6,301.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $4,316.80 / $19,003.00	Facility		$1,998.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,251.36 / $3,068.89 / $5,150.32	Professional		$1,251.36	$3,068.89	$5,150.32