Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,262.59 / $2,567.54 / $14,482.00	Facility		$1,262.59	$2,567.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,185.75 / $1,284.14 / $4,173.52	Professional		$1,185.75	$1,284.14	$4,173.52
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 $1,227.85 / $3,265.15 / $8,528.48	Professional		$1,227.85	$3,265.15	$8,528.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,222.41 / $3,765.64 / $6,073.84	Facility		$3,222.41	$3,765.64	$6,073.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.28 / $3,897.65 / $5,159.74	Professional		$1,700.28	$3,897.65	$5,159.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,255.24 / $1,662.66 / $2,506.42	Facility		$1,255.24	$1,662.66	$2,506.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,262.59 / $2,533.83 / $7,700.00	Facility		$1,262.59	$2,533.83	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,437.62 / $3,356.05 / $8,401.16	Professional		$1,437.62	$3,356.05	$8,401.16
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 $1,255.24 / $1,662.66 / $2,506.42	Facility		$1,255.24	$1,662.66	$2,506.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,446.60 / $3,777.93 / $5,059.71	Professional		$2,446.60	$3,777.93	$5,059.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,220.28 / $10,220.28 / $10,220.28	Facility		$10,220.28	$10,220.28	$10,220.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,736.93 / $6,101.90 / $21,953.02	Professional		$1,736.93	$6,101.90	$21,953.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,388.77 / $6,388.77 / $6,388.77	Professional		$6,388.77	$6,388.77	$6,388.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,487.52 / $7,370.07 / $7,370.07	Professional		$4,487.52	$7,370.07	$7,370.07
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 $1,255.39 / $4,046.62 / $6,018.14	Professional		$1,255.39	$4,046.62	$6,018.14