Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.88 / $2,919.44 / $14,482.00	Facility		$1,397.88	$2,919.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.18 / $1,410.84 / $7,610.39	Professional		$1,350.18	$1,410.84	$7,610.39
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 $1,413.51 / $3,225.88 / $8,654.33	Professional		$1,413.51	$3,225.88	$8,654.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,693.69 / $4,316.37 / $6,621.42	Facility		$3,693.69	$4,316.37	$6,621.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,973.63 / $5,660.46 / $6,432.34	Professional		$1,973.63	$5,660.46	$6,432.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,382.98 / $1,978.91 / $3,243.83	Facility		$1,382.98	$1,978.91	$3,243.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,382.98 / $2,919.44 / $13,250.00	Facility		$1,382.98	$2,919.44	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,540.97 / $2,842.94 / $13,577.03	Professional		$1,540.97	$2,842.94	$13,577.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $818.02 / $2,687.63	Professional		$126.60	$818.02	$2,687.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,382.98 / $1,957.03 / $3,243.83	Facility		$1,382.98	$1,957.03	$3,243.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,754.05 / $3,355.70 / $5,009.41	Professional		$2,754.05	$3,355.70	$5,009.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,181.68 / $13,181.68 / $13,181.68	Facility		$13,181.68	$13,181.68	$13,181.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,648.29 / $7,004.40 / $13,577.03	Professional		$2,648.29	$7,004.40	$13,577.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,641.95 / $4,641.95 / $4,641.95	Professional		$4,641.95	$4,641.95	$4,641.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,334.35 / $7,182.89 / $9,008.29	Professional		$4,334.35	$7,182.89	$9,008.29
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 $1,483.30 / $2,717.71 / $6,374.00	Professional		$1,483.30	$2,717.71	$6,374.00