Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.47 / $2,524.28 / $14,482.00	Facility		$1,155.47	$2,524.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.70 / $1,155.47 / $4,206.88	Professional		$1,053.70	$1,155.47	$4,206.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,161.38 / $3,222.97 / $6,731.26	Professional		$1,161.38	$3,222.97	$6,731.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,262.05 / $3,811.97 / $6,148.57	Facility		$3,262.05	$3,811.97	$6,148.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.64 / $3,558.20 / $5,169.76	Professional		$1,671.64	$3,558.20	$5,169.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,155.47 / $1,625.93 / $2,412.09	Facility		$1,155.47	$1,625.93	$2,412.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,155.47 / $5,266.00 / $15,126.00	Facility		$1,155.47	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,359.55 / $2,888.78 / $7,682.18	Professional		$1,359.55	$2,888.78	$7,682.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $765.25 / $2,528.84	Professional		$95.42	$765.25	$2,528.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,155.47 / $1,625.93 / $2,412.09	Facility		$1,155.47	$1,625.93	$2,412.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.50 / $3,690.00 / $4,362.68	Professional		$2,398.50	$3,690.00	$4,362.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,724.54 / $5,777.55 / $9,133.36	Professional		$1,724.54	$5,777.55	$9,133.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,449.53 / $3,449.53 / $3,449.53	Professional		$3,449.53	$3,449.53	$3,449.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,852.10 / $6,950.44 / $6,950.44	Professional		$3,852.10	$6,950.44	$6,950.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,359.55 / $3,526.99 / $5,558.69	Professional		$1,359.55	$3,526.99	$5,558.69