Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,140.08 / $2,519.35 / $14,482.00	Facility		$1,140.08	$2,519.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.08 / $1,217.38 / $4,758.77	Professional		$1,140.08	$1,217.38	$4,758.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $19,822.18	Facility		$6,538.00	$10,800.00	$19,822.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,231.63 / $2,636.87 / $7,012.54	Professional		$1,231.63	$2,636.87	$7,012.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,200.78 / $3,740.36 / $5,737.81	Facility		$3,200.78	$3,740.36	$5,737.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,846.22 / $4,746.09 / $5,393.29	Professional		$1,846.22	$4,746.09	$5,393.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,140.08 / $1,592.44 / $2,519.35	Facility		$1,140.08	$1,592.44	$2,519.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,140.08 / $1,763.77 / $5,887.00	Facility		$1,140.08	$1,763.77	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,325.57 / $2,268.32 / $10,776.75	Professional		$1,325.57	$2,268.32	$10,776.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.95 / $981.65 / $2,612.38	Professional		$122.95	$981.65	$2,612.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,140.08 / $1,538.83 / $2,519.35	Facility		$1,140.08	$1,538.83	$2,519.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,432.94 / $2,964.46 / $4,425.35	Professional		$2,432.94	$2,964.46	$4,425.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,691.00 / $8,691.00 / $8,691.00	Facility		$8,691.00	$8,691.00	$8,691.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,384.42 / $6,109.80 / $10,776.75	Professional		$2,384.42	$6,109.80	$10,776.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,303.60 / $4,303.60 / $4,303.60	Professional		$4,303.60	$4,303.60	$4,303.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,681.60 / $6,388.25 / $7,106.84	Professional		$3,681.60	$6,388.25	$7,106.84
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 $1,283.46 / $2,243.76 / $5,365.46	Professional		$1,283.46	$2,243.76	$5,365.46