Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.97 / $2,526.26 / $14,482.00	Facility		$1,200.97	$2,526.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,150.67 / $1,243.33 / $5,710.38	Professional		$1,150.67	$1,243.33	$5,710.38
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 $1,195.79 / $2,771.46 / $7,060.14	Professional		$1,195.79	$2,771.46	$7,060.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,186.36 / $3,723.51 / $5,711.97	Facility		$3,186.36	$3,723.51	$5,711.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,716.40 / $4,888.08 / $5,554.64	Professional		$1,716.40	$4,888.08	$5,554.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,200.97 / $1,681.36 / $2,806.95	Facility		$1,200.97	$1,681.36	$2,806.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,200.97 / $2,493.25 / $13,250.00	Facility		$1,200.97	$2,493.25	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,298.50 / $2,401.23 / $14,641.99	Professional		$1,298.50	$2,401.23	$14,641.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $745.32 / $2,395.26	Professional		$126.60	$745.32	$2,395.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,200.97 / $1,674.11 / $2,806.95	Facility		$1,200.97	$1,674.11	$2,806.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,443.35 / $2,977.13 / $4,444.27	Professional		$2,443.35	$2,977.13	$4,444.27
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 $2,286.92 / $7,466.25 / $14,641.99	Professional		$2,286.92	$7,466.25	$14,641.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,970.35 / $3,970.35 / $3,970.35	Professional		$3,970.35	$3,970.35	$3,970.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,982.13 / $7,779.12 / $7,779.12	Professional		$3,982.13	$7,779.12	$7,779.12
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 $1,298.50 / $2,375.08 / $5,538.00	Professional		$1,298.50	$2,375.08	$5,538.00