Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,328.39 / $2,763.25 / $14,482.00	Facility		$1,328.39	$2,763.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.50 / $1,328.39 / $6,411.80	Professional		$1,261.50	$1,328.39	$6,411.80
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 $1,362.61 / $3,065.51 / $7,854.32	Professional		$1,362.61	$3,065.51	$7,854.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,516.17 / $4,108.92 / $6,303.19	Facility		$3,516.17	$4,108.92	$6,303.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,964.44 / $5,371.36 / $6,103.81	Professional		$1,964.44	$5,371.36	$6,103.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,311.25 / $1,769.44 / $2,935.74	Facility		$1,311.25	$1,769.44	$2,935.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,311.25 / $2,729.66 / $13,250.00	Facility		$1,311.25	$2,729.66	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,484.36 / $2,696.17 / $10,981.50	Professional		$1,484.36	$2,696.17	$10,981.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $779.67 / $2,541.08	Professional		$126.60	$779.67	$2,541.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,311.25 / $1,769.44 / $2,935.74	Facility		$1,311.25	$1,769.44	$2,935.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,605.19 / $3,174.34 / $4,738.66	Professional		$2,605.19	$3,174.34	$4,738.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,498.64 / $12,498.64 / $12,498.64	Facility		$12,498.64	$12,498.64	$12,498.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,513.01 / $6,706.90 / $10,981.50	Professional		$2,513.01	$6,706.90	$10,981.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,416.97 / $4,416.97 / $4,416.97	Professional		$4,416.97	$4,416.97	$4,416.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,410.64 / $6,888.79 / $8,548.18	Professional		$3,410.64	$6,888.79	$8,548.18
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 $1,456.66 / $2,653.02 / $6,103.28	Professional		$1,456.66	$2,653.02	$6,103.28