Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,322.19 / $4,121.50 / $17,823.00	Facility		$1,322.19	$4,121.50	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,191.90 / $1,334.66 / $4,920.31	Professional		$1,191.90	$1,334.66	$4,920.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,293.00 / $10,261.00 / $16,653.39	Facility		$6,293.00	$10,261.00	$16,653.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,317.85 / $3,051.20 / $8,182.04	Professional		$1,317.85	$3,051.20	$8,182.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,495.44 / $4,084.70 / $6,266.04	Facility		$3,495.44	$4,084.70	$6,266.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,887.30 / $5,353.83 / $6,083.90	Professional		$1,887.30	$5,353.83	$6,083.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,308.10 / $1,851.07 / $3,067.53	Facility		$1,308.10	$1,851.07	$3,067.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,322.19 / $2,750.15 / $13,250.00	Facility		$1,322.19	$2,750.15	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,457.41 / $2,638.15 / $12,480.69	Professional		$1,457.41	$2,638.15	$12,480.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $797.80 / $2,535.60	Professional		$126.60	$797.80	$2,535.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,308.10 / $1,844.99 / $3,067.53	Facility		$1,308.10	$1,844.99	$3,067.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,603.90 / $3,172.75 / $4,736.29	Professional		$2,603.90	$3,172.75	$4,736.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,348.54 / $9,348.54 / $9,348.54	Facility		$9,348.54	$9,348.54	$9,348.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,504.82 / $6,562.55 / $12,480.69	Professional		$2,504.82	$6,562.55	$12,480.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,388.64 / $4,388.64 / $4,388.64	Professional		$4,388.64	$4,388.64	$4,388.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,021.71 / $6,741.53 / $8,520.29	Professional		$4,021.71	$6,741.53	$8,520.29
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 $1,416.16 / $2,635.52 / $5,971.92	Professional		$1,416.16	$2,635.52	$5,971.92