Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.90 / $2,581.96 / $14,482.00	Facility		$1,181.90	$2,581.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.03 / $1,181.90 / $6,513.64	Professional		$1,078.03	$1,181.90	$6,513.64
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 $1,189.54 / $3,295.97 / $6,883.73	Professional		$1,189.54	$3,295.97	$6,883.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,335.05 / $3,897.26 / $6,286.15	Facility		$3,335.05	$3,897.26	$6,286.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,709.83 / $3,639.98 / $5,284.30	Professional		$1,709.83	$3,639.98	$5,284.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,181.90 / $1,665.36 / $2,467.21	Facility		$1,181.90	$1,665.36	$2,467.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,191.05 / $5,266.00 / $15,126.00	Facility		$1,191.05	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,393.01 / $2,958.63 / $7,867.93	Professional		$1,393.01	$2,958.63	$7,867.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $792.74 / $2,604.85	Professional		$95.42	$792.74	$2,604.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,181.90 / $1,665.36 / $2,467.21	Facility		$1,181.90	$1,665.36	$2,467.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,453.75 / $3,775.00 / $4,463.18	Professional		$2,453.75	$3,775.00	$4,463.18
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 $1,764.17 / $5,917.25 / $9,347.52	Professional		$1,764.17	$5,917.25	$9,347.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,527.68 / $3,527.68 / $3,527.68	Professional		$3,527.68	$3,527.68	$3,527.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,940.50 / $7,110.14 / $7,110.14	Professional		$3,940.50	$7,110.14	$7,110.14
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,385.66 / $3,612.51 / $5,708.58	Professional		$1,385.66	$3,612.51	$5,708.58