Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.46 / $2,219.04 / $14,482.00	Facility		$1,092.46	$2,219.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.58 / $1,141.75 / $3,605.72	Professional		$1,025.58	$1,141.75	$3,605.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.58 / $2,908.25 / $7,379.09	Professional		$1,064.58	$2,908.25	$7,379.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,784.46 / $3,253.86 / $5,248.37	Facility		$2,784.46	$3,253.86	$5,248.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,469.50 / $3,369.38 / $4,456.79	Professional		$1,469.50	$3,369.38	$4,456.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,084.85 / $1,437.88 / $2,747.50	Facility		$1,084.85	$1,437.88	$2,747.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,092.46 / $2,678.00 / $7,700.00	Facility		$1,092.46	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,261.72 / $2,908.37 / $7,283.85	Professional		$1,261.72	$2,908.37	$7,283.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $913.20 / $2,362.52	Professional		$85.00	$913.20	$2,362.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,092.29 / $1,490.43 / $2,747.50	Facility		$1,092.29	$1,490.43	$2,747.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,114.44 / $3,265.04 / $4,386.80	Professional		$2,114.44	$3,265.04	$4,386.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,836.03 / $8,836.03 / $8,836.03	Facility		$8,836.03	$8,836.03	$8,836.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,501.50 / $5,287.95 / $10,018.90	Professional		$1,501.50	$5,287.95	$10,018.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,527.73 / $5,527.73 / $5,527.73	Professional		$5,527.73	$5,527.73	$5,527.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,199.88 / $6,371.09 / $6,371.09	Professional		$5,199.88	$6,371.09	$6,371.09
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 $1,225.74 / $3,192.90 / $5,207.21	Professional		$1,225.74	$3,192.90	$5,207.21