Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.11 / $2,722.25 / $14,482.00	Facility		$1,428.11	$2,722.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.53 / $1,428.11 / $4,437.77	Professional		$1,340.53	$1,428.11	$4,437.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,307.70 / $3,472.55 / $7,539.84	Professional		$1,307.70	$3,472.55	$7,539.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,412.54 / $3,987.82 / $6,432.22	Facility		$3,412.54	$3,987.82	$6,432.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,802.74 / $4,134.28 / $5,461.82	Professional		$1,802.74	$4,134.28	$5,461.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,330.88 / $1,830.78 / $2,653.38	Facility		$1,330.88	$1,830.78	$2,653.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,428.11 / $2,653.38 / $7,700.00	Facility		$1,428.11	$2,653.38	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,543.59 / $3,200.91 / $7,043.02	Professional		$1,543.59	$3,200.91	$7,043.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,084.68 / $2,845.44	Professional		$85.00	$1,084.68	$2,845.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,330.88 / $1,830.78 / $2,653.38	Facility		$1,330.88	$1,830.78	$2,653.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,595.44 / $4,007.77 / $4,720.92	Professional		$2,595.44	$4,007.77	$4,720.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,844.96 / $10,844.96 / $10,844.96	Facility		$10,844.96	$10,844.96	$10,844.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,842.36 / $6,512.00 / $9,901.20	Professional		$1,842.36	$6,512.00	$9,901.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,627.07 / $3,627.07 / $3,627.07	Professional		$3,627.07	$3,627.07	$3,627.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,808.73 / $6,400.66 / $6,400.66	Professional		$3,808.73	$6,400.66	$6,400.66
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 $1,391.98 / $3,732.12 / $6,177.40	Professional		$1,391.98	$3,732.12	$6,177.40