Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,996.08 / $4,836.30 / $14,482.00	Facility		$1,996.08	$4,836.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.39 / $1,996.08 / $6,183.20	Professional		$1,240.39	$1,996.08	$6,183.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,208.11 / $2,577.21 / $6,053.28	Professional		$1,208.11	$2,577.21	$6,053.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,520.68 / $4,114.18 / $6,636.04	Facility		$3,520.68	$4,114.18	$6,636.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.99 / $3,196.88 / $4,785.14	Professional		$1,506.99	$3,196.88	$4,785.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,206.06 / $1,691.37 / $2,695.03	Facility		$1,206.06	$1,691.37	$2,695.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,273.96 / $4,990.20 / $11,598.00	Facility		$1,273.96	$4,990.20	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,225.23 / $2,573.19 / $9,849.44	Professional		$1,225.23	$2,573.19	$9,849.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $717.85 / $2,168.70	Professional		$123.62	$717.85	$2,168.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,206.06 / $1,691.37 / $2,730.00	Facility		$1,206.06	$1,691.37	$2,730.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,343.60 / $3,093.55 / $4,391.13	Professional		$2,343.60	$3,093.55	$4,391.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,285.06 / $9,285.06 / $9,285.06	Facility		$9,285.06	$9,285.06	$9,285.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,189.28 / $6,183.20 / $9,849.44	Professional		$2,189.28	$6,183.20	$9,849.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,274.49 / $6,274.49 / $6,274.49	Professional		$6,274.49	$6,274.49	$6,274.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,684.66 / $8,101.82 / $12,862.23	Professional		$4,684.66	$8,101.82	$12,862.23
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.45 / $2,384.23 / $5,419.57	Professional		$1,263.45	$2,384.23	$5,419.57