Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.70 / $2,437.36 / $14,482.00	Facility		$1,277.70	$2,437.36	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.23 / $1,277.70 / $3,970.61	Professional		$1,199.23	$1,277.70	$3,970.61
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 $1,171.91 / $3,101.04 / $6,744.01	Professional		$1,171.91	$3,101.04	$6,744.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,057.50 / $3,572.93 / $5,763.01	Facility		$3,057.50	$3,572.93	$5,763.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,614.08 / $3,701.82 / $4,892.02	Professional		$1,614.08	$3,701.82	$4,892.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,191.59 / $1,640.67 / $2,590.50	Facility		$1,191.59	$1,640.67	$2,590.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,277.70 / $2,590.50 / $7,700.00	Facility		$1,277.70	$2,590.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,385.32 / $2,860.53 / $6,299.06	Professional		$1,385.32	$2,860.53	$6,299.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $977.89 / $2,547.99	Professional		$85.00	$977.89	$2,547.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,277.70 / $1,694.43 / $2,590.50	Facility		$1,277.70	$1,694.43	$2,590.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,323.10 / $3,587.22 / $4,225.54	Professional		$2,323.10	$3,587.22	$4,225.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,712.01 / $9,712.01 / $9,712.01	Facility		$9,712.01	$9,712.01	$9,712.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,649.66 / $5,819.25 / $10,316.00	Professional		$1,649.66	$5,819.25	$10,316.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,242.97 / $3,242.97 / $3,242.97	Professional		$3,242.97	$3,242.97	$3,242.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,410.13 / $5,731.17 / $5,731.17	Professional		$3,410.13	$5,731.17	$5,731.17
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 $1,323.02 / $3,416.59 / $5,524.88	Professional		$1,323.02	$3,416.59	$5,524.88