Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.05 / $4,121.50 / $17,831.03	Facility		$1,422.05	$4,121.50	$17,831.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.96 / $1,422.05 / $5,583.82	Professional		$1,298.96	$1,422.05	$5,583.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,413.40 / $3,281.65 / $8,826.64	Professional		$1,413.40	$3,281.65	$8,826.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,753.16 / $4,385.87 / $6,728.04	Facility		$3,753.16	$4,385.87	$6,728.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,040.13 / $5,746.21 / $6,529.79	Professional		$2,040.13	$5,746.21	$6,529.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,405.52 / $1,978.76 / $3,284.60	Facility		$1,405.52	$1,978.76	$3,284.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,405.52 / $2,934.70 / $13,442.00	Facility		$1,405.52	$2,934.70	$13,442.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,641.60 / $3,350.78 / $15,789.51	Professional		$1,641.60	$3,350.78	$15,789.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $831.84 / $2,698.96	Professional		$126.60	$831.84	$2,698.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,405.52 / $1,970.76 / $3,284.60	Facility		$1,405.52	$1,970.76	$3,284.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,788.50 / $3,397.68 / $5,072.07	Professional		$2,788.50	$3,397.68	$5,072.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,377.52 / $13,377.52 / $13,377.52	Facility		$13,377.52	$13,377.52	$13,377.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,688.41 / $6,929.80 / $15,789.51	Professional		$2,688.41	$6,929.80	$15,789.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,734.37 / $4,734.37 / $4,734.37	Professional		$4,734.37	$4,734.37	$4,734.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,851.18 / $7,285.24 / $9,144.82	Professional		$4,851.18	$7,285.24	$9,144.82
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 $1,551.39 / $3,007.51 / $6,306.12	Professional		$1,551.39	$3,007.51	$6,306.12