Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.20 / $2,348.71 / $14,482.00	Facility		$1,253.20	$2,348.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.35 / $1,253.20 / $3,884.84	Professional		$1,018.35	$1,253.20	$3,884.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,100.71 / $3,039.19 / $6,369.78	Professional		$1,100.71	$3,039.19	$6,369.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,978.20 / $3,480.26 / $5,613.54	Facility		$2,978.20	$3,480.26	$5,613.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,722.39 / $3,406.72 / $4,721.64	Professional		$1,722.39	$3,406.72	$4,721.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,043.86 / $1,253.20 / $2,244.32	Facility		$1,043.86	$1,253.20	$2,244.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.26 / $4,103.00 / $8,384.00	Facility		$1,148.26	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,320.62 / $2,795.03 / $5,493.16	Professional		$1,320.62	$2,795.03	$5,493.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $714.03 / $2,319.18	Professional		$95.64	$714.03	$2,319.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,043.86 / $1,253.20 / $2,244.32	Facility		$1,043.86	$1,253.20	$2,244.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,275.00 / $3,500.00 / $4,138.05	Professional		$2,275.00	$3,500.00	$4,138.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $9,496.40 / $9,496.40	Facility		$9,496.40	$9,496.40	$9,496.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,776.56 / $5,590.05 / $9,976.18	Professional		$1,776.56	$5,590.05	$9,976.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,863.68 / $2,863.68 / $2,863.68	Professional		$2,863.68	$2,863.68	$2,863.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,963.08 / $6,223.45 / $6,223.45	Professional		$2,963.08	$6,223.45	$6,223.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,277.53 / $2,795.03 / $4,899.68	Professional		$1,277.53	$2,795.03	$4,899.68