Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.58 / $2,427.14 / $14,482.00	Facility		$1,272.58	$2,427.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,196.74 / $1,272.58 / $4,133.10	Professional		$1,196.74	$1,272.58	$4,133.10
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 $1,168.43 / $3,103.74 / $6,721.44	Professional		$1,168.43	$3,103.74	$6,721.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,045.79 / $3,559.24 / $5,740.93	Facility		$3,045.79	$3,559.24	$5,740.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,607.31 / $3,686.91 / $4,873.41	Professional		$1,607.31	$3,686.91	$4,873.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,186.59 / $1,635.80 / $2,367.30	Facility		$1,186.59	$1,635.80	$2,367.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,272.58 / $4,240.00 / $11,598.00	Facility		$1,272.58	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,368.32 / $2,851.43 / $6,281.07	Professional		$1,368.32	$2,851.43	$6,281.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $965.54 / $2,487.56	Professional		$85.00	$965.54	$2,487.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,186.59 / $1,635.80 / $2,367.30	Facility		$1,186.59	$1,635.80	$2,367.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,313.35 / $3,572.17 / $4,207.81	Professional		$2,313.35	$3,572.17	$4,207.81
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 $1,643.00 / $5,800.65 / $10,273.00	Professional		$1,643.00	$5,800.65	$10,273.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,230.77 / $3,230.77 / $3,230.77	Professional		$3,230.77	$3,230.77	$3,230.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,395.84 / $5,708.07 / $5,708.07	Professional		$3,395.84	$5,708.07	$5,708.07
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,384.46 / $3,501.15 / $5,509.10	Professional		$1,384.46	$3,501.15	$5,509.10