Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,107.33 / $2,247.44 / $14,482.00	Facility		$1,107.33	$2,247.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.72 / $1,131.58 / $3,819.95	Professional		$1,038.72	$1,131.58	$3,819.95
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 $1,081.91 / $2,958.31 / $7,479.45	Professional		$1,081.91	$2,958.31	$7,479.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.70 / $3,293.88 / $5,312.91	Facility		$2,818.70	$3,293.88	$5,312.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,488.31 / $3,413.17 / $4,511.20	Professional		$1,488.31	$3,413.17	$4,511.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,098.75 / $1,456.10 / $2,198.00	Facility		$1,098.75	$1,456.10	$2,198.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,107.33 / $2,415.00 / $7,700.00	Facility		$1,107.33	$2,415.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,282.85 / $2,955.10 / $7,409.29	Professional		$1,282.85	$2,955.10	$7,409.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $900.04 / $2,291.33	Professional		$85.00	$900.04	$2,291.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,107.33 / $1,514.67 / $2,198.00	Facility		$1,107.33	$1,514.67	$2,198.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,141.75 / $3,307.19 / $4,462.34	Professional		$2,141.75	$3,307.19	$4,462.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,952.86 / $8,952.86 / $8,952.86	Facility		$8,952.86	$8,952.86	$8,952.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,521.02 / $5,372.90 / $8,172.88	Professional		$1,521.02	$5,372.90	$8,172.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,602.90 / $5,602.90 / $5,602.90	Professional		$5,602.90	$5,602.90	$5,602.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,293.46 / $6,453.87 / $6,453.87	Professional		$5,293.46	$6,453.87	$6,453.87
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 $1,257.98 / $3,154.20 / $5,278.14	Professional		$1,257.98	$3,154.20	$5,278.14