Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.92 / $2,066.29 / $14,482.00	Facility		$1,082.92	$2,066.29	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.02 / $1,082.92 / $3,718.60	Professional		$1,021.02	$1,082.92	$3,718.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.54 / $2,629.84 / $5,978.97	Professional		$995.54	$2,629.84	$5,978.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.52 / $3,029.57 / $4,886.58	Facility		$2,592.52	$3,029.57	$4,886.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,368.34 / $3,137.53 / $4,148.97	Professional		$1,368.34	$3,137.53	$4,148.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,010.19 / $1,393.76 / $2,015.52	Facility		$1,010.19	$1,393.76	$2,015.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,082.92 / $4,240.00 / $11,598.00	Facility		$1,082.92	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,178.59 / $2,429.88 / $5,355.50	Professional		$1,178.59	$2,429.88	$5,355.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $845.47 / $2,158.34	Professional		$85.00	$845.47	$2,158.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,082.92 / $1,393.76 / $2,015.52	Facility		$1,082.92	$1,393.76	$2,015.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,969.50 / $3,041.21 / $3,582.37	Professional		$1,969.50	$3,041.21	$3,582.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,159.60 / $8,159.60 / $8,159.60	Facility		$8,159.60	$8,159.60	$8,159.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,398.18 / $4,938.64 / $8,940.00	Professional		$1,398.18	$4,938.64	$8,940.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,748.93 / $2,748.93 / $2,748.93	Professional		$2,748.93	$2,748.93	$2,748.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,268.53 / $4,857.51 / $4,857.51	Professional		$3,268.53	$4,857.51	$4,857.51
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,125.81 / $3,280.30 / $4,697.28	Professional		$1,125.81	$3,280.30	$4,697.28