Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.57 / $4,544.89 / $14,482.00	Facility		$1,220.57	$4,544.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.08 / $1,220.57 / $5,127.53	Professional		$1,133.08	$1,220.57	$5,127.53
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 $1,229.44 / $2,816.70 / $7,552.36	Professional		$1,229.44	$2,816.70	$7,552.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,221.50 / $3,764.58 / $5,774.97	Facility		$3,221.50	$3,764.58	$5,774.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,771.46 / $4,941.52 / $5,615.36	Professional		$1,771.46	$4,941.52	$5,615.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,210.08 / $1,708.80 / $2,833.48	Facility		$1,210.08	$1,708.80	$2,833.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,220.57 / $2,550.13 / $13,250.00	Facility		$1,220.57	$2,550.13	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,342.92 / $2,453.89 / $14,942.49	Professional		$1,342.92	$2,453.89	$14,942.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $716.83 / $2,360.92	Professional		$126.60	$716.83	$2,360.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,210.08 / $1,700.09 / $2,833.48	Facility		$1,210.08	$1,700.09	$2,833.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,406.30 / $2,931.98 / $4,376.87	Professional		$2,406.30	$2,931.98	$4,376.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,960.05 / $13,960.05 / $13,960.05	Facility		$13,960.05	$13,960.05	$13,960.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,311.91 / $6,104.20 / $14,942.49	Professional		$2,311.91	$6,104.20	$14,942.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,050.90 / $4,050.90 / $4,050.90	Professional		$4,050.90	$4,050.90	$4,050.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,856.06 / $6,237.63 / $7,864.11	Professional		$3,856.06	$6,237.63	$7,864.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,330.61 / $2,243.98 / $5,554.82	Professional		$1,330.61	$2,243.98	$5,554.82