Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.70 / $1,036.70 / $14,482.00	Facility		$1,036.70	$1,036.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,036.70 / $1,091.93 / $1,487.13	Professional		$1,036.70	$1,091.93	$1,487.13
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 $1,211.63 / $2,614.67 / $5,444.79	Professional		$1,211.63	$2,614.67	$5,444.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,209.79 / $3,750.89 / $5,753.97	Facility		$3,209.79	$3,750.89	$5,753.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,168.58 / $2,421.44 / $3,888.88	Professional		$1,168.58	$2,421.44	$3,888.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,036.70 / $1,876.69 / $3,612.15	Facility		$1,036.70	$1,876.69	$3,612.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,140.36 / $3,612.15 / $11,598.00	Facility		$1,140.36	$3,612.15	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,176.75 / $1,936.58 / $5,265.57	Professional		$1,176.75	$1,936.58	$5,265.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $627.99	Professional		$65.00	$85.00	$627.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,036.70 / $1,876.69 / $3,612.15	Facility		$1,036.70	$1,876.69	$3,612.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,284.19 / $3,015.14 / $4,209.22	Professional		$2,284.19	$3,015.14	$4,209.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,529.08 / $11,102.00 / $11,102.00	Facility		$7,529.08	$11,102.00	$11,102.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,431.11 / $5,193.54 / $10,704.82	Professional		$1,431.11	$5,193.54	$10,704.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $952.93 / $4,398.91 / $4,398.91	Professional		$952.93	$4,398.91	$4,398.91
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 $1,151.43 / $1,894.89 / $4,819.78	Professional		$1,151.43	$1,894.89	$4,819.78