Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.41 / $2,239.69 / $14,482.00	Facility		$1,174.41	$2,239.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,100.02 / $1,174.41 / $3,640.98	Professional		$1,100.02	$1,174.41	$3,640.98
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 $1,074.44 / $2,849.01 / $6,190.17	Professional		$1,074.44	$2,849.01	$6,190.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,810.59 / $3,284.40 / $5,297.62	Facility		$2,810.59	$3,284.40	$5,297.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,483.17 / $3,401.30 / $4,499.74	Professional		$1,483.17	$3,401.30	$4,499.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,094.96 / $1,504.22 / $2,185.30	Facility		$1,094.96	$1,504.22	$2,185.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.41 / $2,310.00 / $7,700.00	Facility		$1,174.41	$2,310.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,254.79 / $2,622.85 / $5,774.04	Professional		$1,254.79	$2,622.85	$5,774.04
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 $1,174.41 / $1,504.22 / $2,185.30	Facility		$1,174.41	$1,504.22	$2,185.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,133.94 / $3,295.15 / $3,881.49	Professional		$2,133.94	$3,295.15	$3,881.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,920.45 / $8,920.45 / $8,920.45	Facility		$8,920.45	$8,920.45	$8,920.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,515.73 / $5,340.15 / $8,139.92	Professional		$1,515.73	$5,340.15	$8,139.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,978.72 / $2,978.72 / $2,978.72	Professional		$2,978.72	$2,978.72	$2,978.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,133.58 / $5,265.93 / $5,265.93	Professional		$3,133.58	$5,265.93	$5,265.93
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 $1,208.74 / $3,023.68 / $5,064.38	Professional		$1,208.74	$3,023.68	$5,064.38