Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,928.01 / $4,638.53 / $14,482.00	Facility		$1,928.01	$4,638.53	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,196.74 / $1,928.01 / $5,991.40	Professional		$1,196.74	$1,928.01	$5,991.40
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 $1,145.31 / $2,489.33 / $6,224.43	Professional		$1,145.31	$2,489.33	$6,224.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,398.12 / $3,970.98 / $6,405.04	Facility		$3,398.12	$3,970.98	$6,405.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,447.49 / $3,095.95 / $6,210.00	Professional		$1,447.49	$3,095.95	$6,210.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,171.33 / $1,603.43 / $2,337.92	Facility		$1,171.33	$1,603.43	$2,337.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,228.50 / $4,820.03 / $11,598.00	Facility		$1,228.50	$4,820.03	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,159.29 / $2,470.96 / $9,483.12	Professional		$1,159.29	$2,470.96	$9,483.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $690.36 / $2,062.65	Professional		$91.28	$690.36	$2,062.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,171.33 / $1,603.43 / $2,588.28	Facility		$1,171.33	$1,603.43	$2,588.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,247.60 / $2,966.83 / $4,428.89	Professional		$2,247.60	$2,966.83	$4,428.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $9,001.70 / $9,001.70	Facility		$9,001.70	$9,001.70	$9,001.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,109.78 / $5,991.40 / $9,483.12	Professional		$2,109.78	$5,991.40	$9,483.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,389.15 / $6,389.15 / $6,389.15	Professional		$6,389.15	$6,389.15	$6,389.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,412.56 / $8,249.87 / $12,395.13	Professional		$4,412.56	$8,249.87	$12,395.13
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 $1,222.02 / $2,310.28 / $5,251.46	Professional		$1,222.02	$2,310.28	$5,251.46