Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,295.06 / $2,628.11 / $14,482.00	Facility		$1,295.06	$2,628.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.64 / $1,331.72 / $4,313.91	Professional		$1,214.64	$1,331.72	$4,313.91
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 $1,270.22 / $3,376.49 / $8,755.28	Professional		$1,270.22	$3,376.49	$8,755.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,295.40 / $3,850.93 / $6,211.41	Facility		$3,295.40	$3,850.93	$6,211.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,740.40 / $3,991.75 / $5,274.28	Professional		$1,740.40	$3,991.75	$5,274.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,284.85 / $1,702.40 / $2,561.90	Facility		$1,284.85	$1,702.40	$2,561.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,295.06 / $2,561.90 / $7,700.00	Facility		$1,295.06	$2,561.90	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,494.47 / $3,476.08 / $8,671.14	Professional		$1,494.47	$3,476.08	$8,671.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,084.25 / $2,792.84	Professional		$85.00	$1,084.25	$2,792.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,295.06 / $1,702.40 / $2,561.90	Facility		$1,295.06	$1,702.40	$2,561.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,505.10 / $3,868.26 / $5,222.31	Professional		$2,505.10	$3,868.26	$5,222.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,470.60 / $10,470.60 / $10,470.60	Facility		$10,470.60	$10,470.60	$10,470.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.85 / $6,320.15 / $15,207.00	Professional		$1,778.85	$6,320.15	$15,207.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,558.67 / $6,558.67 / $6,558.67	Professional		$6,558.67	$6,558.67	$6,558.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,160.10 / $7,547.98 / $7,547.98	Professional		$6,160.10	$7,547.98	$7,547.98
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 $1,494.47 / $3,593.17 / $6,172.88	Professional		$1,494.47	$3,593.17	$6,172.88