Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.06 / $2,885.33 / $14,482.00	Facility		$1,523.06	$2,885.33	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.70 / $1,523.06 / $4,435.87	Professional		$1,248.70	$1,523.06	$4,435.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,577.00 / $11,523.00 / $18,601.16	Facility		$5,577.00	$11,523.00	$18,601.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,355.31 / $3,663.28 / $7,732.38	Professional		$1,355.31	$3,663.28	$7,732.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,653.14 / $4,268.97 / $6,885.72	Facility		$3,653.14	$4,268.97	$6,885.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,115.90 / $4,170.52 / $5,811.15	Professional		$2,115.90	$4,170.52	$5,811.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,410.61 / $1,716.50 / $2,757.10	Facility		$1,410.61	$1,716.50	$2,757.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,523.06 / $2,757.10 / $7,700.00	Facility		$1,523.06	$2,757.10	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,521.78 / $3,466.76 / $6,676.04	Professional		$1,521.78	$3,466.76	$6,676.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $882.21 / $2,783.71	Professional		$135.10	$882.21	$2,783.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,413.61 / $1,716.50 / $2,757.10	Facility		$1,413.61	$1,716.50	$2,757.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,789.80 / $4,292.00 / $5,074.43	Professional		$2,789.80	$4,292.00	$5,074.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,671.03 / $11,671.03 / $11,671.03	Facility		$11,671.03	$11,671.03	$11,671.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,174.87 / $6,726.85 / $10,561.60	Professional		$2,174.87	$6,726.85	$10,561.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,476.26 / $3,476.26 / $3,476.26	Professional		$3,476.26	$3,476.26	$3,476.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,463.68 / $7,618.76 / $7,618.76	Professional		$3,463.68	$7,618.76	$7,618.76
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 $1,463.09 / $3,637.02 / $5,896.08	Professional		$1,463.09	$3,637.02	$5,896.08