Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,238.13 / $2,515.54 / $14,482.00	Facility		$1,238.13	$2,515.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.85 / $1,262.09 / $4,091.34	Professional		$1,161.85	$1,262.09	$4,091.34
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 $1,207.28 / $3,137.17 / $8,364.10	Professional		$1,207.28	$3,137.17	$8,364.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,155.72 / $3,687.71 / $5,948.15	Facility		$3,155.72	$3,687.71	$5,948.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,665.85 / $3,819.21 / $5,050.93	Professional		$1,665.85	$3,819.21	$5,050.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,238.13 / $1,690.19 / $5,531.79	Facility		$1,238.13	$1,690.19	$5,531.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,238.13 / $2,747.50 / $7,700.00	Facility		$1,238.13	$2,747.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,418.52 / $3,298.54 / $8,263.75	Professional		$1,418.52	$3,298.54	$8,263.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,019.68 / $2,620.74	Professional		$85.00	$1,019.68	$2,620.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,238.13 / $1,794.17 / $5,531.79	Facility		$1,238.13	$1,794.17	$5,531.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,397.85 / $3,702.65 / $4,976.95	Professional		$2,397.85	$3,702.65	$4,976.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,447.92 / $11,447.92 / $11,447.92	Facility		$11,447.92	$11,447.92	$11,447.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,701.97 / $5,997.35 / $9,764.62	Professional		$1,701.97	$5,997.35	$9,764.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,265.61 / $6,265.61 / $6,265.61	Professional		$6,265.61	$6,265.61	$6,265.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,842.27 / $7,221.73 / $7,221.73	Professional		$5,842.27	$7,221.73	$7,221.73
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 $1,281.54 / $3,520.43 / $5,901.54	Professional		$1,281.54	$3,520.43	$5,901.54