Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.49 / $2,299.01 / $14,482.00	Facility		$1,132.49	$2,299.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.19 / $1,157.08 / $3,750.87	Professional		$1,062.19	$1,157.08	$3,750.87
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 $1,107.13 / $2,869.50 / $7,653.04	Professional		$1,107.13	$2,869.50	$7,653.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,883.58 / $3,369.70 / $5,435.20	Facility		$2,883.58	$3,369.70	$5,435.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,522.45 / $3,492.05 / $4,612.84	Professional		$1,522.45	$3,492.05	$4,612.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,123.96 / $1,488.56 / $2,241.21	Facility		$1,123.96	$1,488.56	$2,241.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,132.49 / $2,429.00 / $7,700.00	Facility		$1,132.49	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,308.61 / $3,023.63 / $7,582.41	Professional		$1,308.61	$3,023.63	$7,582.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $945.55 / $2,430.92	Professional		$85.00	$945.55	$2,430.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,123.96 / $1,488.56 / $2,241.21	Facility		$1,123.96	$1,488.56	$2,241.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,190.50 / $3,382.47 / $4,566.60	Professional		$2,190.50	$3,382.47	$4,566.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,162.16 / $9,162.16 / $9,162.16	Facility		$9,162.16	$9,162.16	$9,162.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,556.17 / $5,497.50 / $8,473.45	Professional		$1,556.17	$5,497.50	$8,473.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,732.94 / $5,732.94 / $5,732.94	Professional		$5,732.94	$5,732.94	$5,732.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,356.11 / $6,603.05 / $6,603.05	Professional		$5,356.11	$6,603.05	$6,603.05
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 $1,237.01 / $3,204.73 / $5,397.98	Professional		$1,237.01	$3,204.73	$5,397.98