Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,081.59 / $2,366.73 / $14,482.00	Facility		$1,081.59	$2,366.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.46 / $1,081.59 / $4,039.20	Professional		$1,001.46	$1,081.59	$4,039.20
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 $1,119.51 / $3,004.46 / $6,574.58	Professional		$1,119.51	$3,004.46	$6,574.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,036.77 / $3,548.71 / $5,723.95	Facility		$3,036.77	$3,548.71	$5,723.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,567.31 / $3,342.23 / $4,801.82	Professional		$1,567.31	$3,342.23	$4,801.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,081.59 / $1,567.31 / $2,983.00	Facility		$1,081.59	$1,567.31	$2,983.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,157.07 / $5,266.00 / $15,126.00	Facility		$1,157.07	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,319.08 / $2,783.10 / $7,401.15	Professional		$1,319.08	$2,783.10	$7,401.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $727.63 / $2,360.54	Professional		$70.00	$727.63	$2,360.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,081.59 / $1,590.09 / $2,983.00	Facility		$1,081.59	$1,590.09	$2,983.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,260.69 / $3,490.87 / $4,112.04	Professional		$2,260.69	$3,490.87	$4,112.04
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 $1,619.87 / $5,566.20 / $9,614.37	Professional		$1,619.87	$5,566.20	$9,614.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,215.66 / $3,215.66 / $3,215.66	Professional		$3,215.66	$3,215.66	$3,215.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,610.62 / $6,528.60 / $6,528.60	Professional		$3,610.62	$6,528.60	$6,528.60
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 $1,274.81 / $3,426.15 / $5,554.53	Professional		$1,274.81	$3,426.15	$5,554.53