Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,081.23 / $5,083.35 / $14,482.00	Facility		$2,081.23	$5,083.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,343.99 / $2,081.23 / $6,766.45	Professional		$1,343.99	$2,081.23	$6,766.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,317.24 / $2,687.17 / $7,006.36	Professional		$1,317.24	$2,687.17	$7,006.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,649.54 / $4,264.77 / $6,878.93	Facility		$3,649.54	$4,264.77	$6,878.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,582.87 / $3,336.30 / $6,729.06	Professional		$1,582.87	$3,336.30	$6,729.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,321.68 / $1,900.40 / $2,711.19	Facility		$1,321.68	$1,900.40	$2,711.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,364.93 / $5,203.10 / $11,598.00	Facility		$1,364.93	$5,203.10	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,356.97 / $2,815.93 / $10,337.76	Professional		$1,356.97	$2,815.93	$10,337.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $748.86 / $2,250.78	Professional		$123.62	$748.86	$2,250.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,321.68 / $1,900.40 / $2,812.57	Facility		$1,321.68	$1,900.40	$2,812.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,464.19 / $3,252.74 / $4,855.71	Professional		$2,464.19	$3,252.74	$4,855.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,319.35 / $11,319.35 / $11,319.35	Facility		$11,319.35	$11,319.35	$11,319.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,286.14 / $6,766.45 / $10,337.76	Professional		$2,286.14	$6,766.45	$10,337.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,313.44 / $8,420.71 / $13,431.24	Professional		$5,313.44	$8,420.71	$13,431.24
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 $1,369.86 / $2,704.96 / $5,930.79	Professional		$1,369.86	$2,704.96	$5,930.79