Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.91 / $2,832.48 / $14,482.00	Facility		$1,356.91	$2,832.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,198.75 / $1,356.91 / $5,350.24	Professional		$1,198.75	$1,356.91	$5,350.24
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 $1,354.25 / $3,131.33 / $8,400.07	Professional		$1,354.25	$3,131.33	$8,400.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,585.56 / $4,190.01 / $6,427.58	Facility		$3,585.56	$4,190.01	$6,427.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,912.24 / $5,492.67 / $6,241.68	Professional		$1,912.24	$5,492.67	$6,241.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,342.40 / $1,899.67 / $3,147.20	Facility		$1,342.40	$1,899.67	$3,147.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,342.40 / $2,828.30 / $13,442.00	Facility		$1,342.40	$2,828.30	$13,442.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,476.44 / $2,803.24 / $13,111.43	Professional		$1,476.44	$2,803.24	$13,111.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $797.80 / $2,611.62	Professional		$126.60	$797.80	$2,611.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,342.40 / $1,895.95 / $3,147.20	Facility		$1,342.40	$1,895.95	$3,147.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,672.15 / $3,255.91 / $4,860.43	Professional		$2,672.15	$3,255.91	$4,860.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,790.00 / $12,790.00 / $12,790.00	Facility		$12,790.00	$12,790.00	$12,790.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,569.78 / $6,743.25 / $13,111.43	Professional		$2,569.78	$6,743.25	$13,111.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,505.59 / $4,505.59 / $4,505.59	Professional		$4,505.59	$4,505.59	$4,505.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,121.18 / $6,921.97 / $8,741.27	Professional		$4,121.18	$6,921.97	$8,741.27
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 $1,429.90 / $2,795.06 / $6,136.36	Professional		$1,429.90	$2,795.06	$6,136.36