Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.82 / $2,770.31 / $14,482.00	Facility		$1,370.82	$2,770.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.40 / $1,370.82 / $4,329.89	Professional		$1,323.40	$1,370.82	$4,329.89
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 $1,313.80 / $3,473.39 / $9,304.95	Professional		$1,313.80	$3,473.39	$9,304.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,474.72 / $4,060.48 / $6,549.42	Facility		$3,474.72	$4,060.48	$6,549.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,834.56 / $4,206.07 / $5,562.04	Professional		$1,834.56	$4,206.07	$5,562.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,354.38 / $1,839.32 / $2,747.50	Facility		$1,354.38	$1,839.32	$2,747.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,370.82 / $2,747.50 / $7,700.00	Facility		$1,370.82	$2,747.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,577.70 / $3,481.00 / $8,955.12	Professional		$1,577.70	$3,481.00	$8,955.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $951.63 / $2,944.94	Professional		$85.26	$951.63	$2,944.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,370.82 / $1,913.90 / $2,747.50	Facility		$1,370.82	$1,913.90	$2,747.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,763.80 / $4,252.00 / $5,393.35	Professional		$2,763.80	$4,252.00	$5,393.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,374.09 / $11,374.09 / $11,374.09	Facility		$11,374.09	$11,374.09	$11,374.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,874.37 / $6,573.75 / $11,296.85	Professional		$1,874.37	$6,573.75	$11,296.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,970.40 / $6,970.40 / $6,970.40	Professional		$6,970.40	$6,970.40	$6,970.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,182.93 / $7,953.21 / $7,953.21	Professional		$6,182.93	$7,953.21	$7,953.21
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 $1,535.55 / $3,989.88 / $6,534.00	Professional		$1,535.55	$3,989.88	$6,534.00