Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $2,171.32 / $14,482.00	Facility		$1,089.45	$2,171.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.44 / $1,113.69 / $3,508.82	Professional		$1,027.44	$1,113.69	$3,508.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $20,567.55	Facility		$7,084.00	$12,066.00	$20,567.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.57 / $2,760.43 / $7,368.72	Professional		$1,000.57	$2,760.43	$7,368.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,762.83 / $3,228.59 / $5,207.60	Facility		$2,762.83	$3,228.59	$5,207.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,437.89 / $3,331.53 / $4,373.75	Professional		$1,437.89	$3,331.53	$4,373.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,061.53 / $1,400.80 / $2,074.81	Facility		$1,061.53	$1,400.80	$2,074.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $2,429.00 / $7,700.00	Facility		$1,089.45	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,220.15 / $2,811.90 / $6,725.43	Professional		$1,220.15	$2,811.90	$6,725.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $718.15 / $2,292.05	Professional		$62.69	$718.15	$2,292.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $1,406.40 / $2,074.81	Facility		$1,089.45	$1,406.40	$2,074.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,100.15 / $3,231.00 / $4,050.48	Professional		$2,100.15	$3,231.00	$4,050.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,819.44 / $8,819.44 / $8,819.44	Facility		$8,819.44	$8,819.44	$8,819.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,484.63 / $5,112.55 / $7,980.88	Professional		$1,484.63	$5,112.55	$7,980.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,519.98 / $5,519.98 / $5,519.98	Professional		$5,519.98	$5,519.98	$5,519.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,968.16 / $6,299.49 / $6,299.49	Professional		$4,968.16	$6,299.49	$6,299.49
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 $1,192.80 / $2,919.77 / $5,102.84	Professional		$1,192.80	$2,919.77	$5,102.84