Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,027.52 / $2,137.28 / $14,482.00	Facility		$1,027.52	$2,137.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.52 / $1,056.52 / $4,678.00	Professional		$1,027.52	$1,056.52	$4,678.00
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 $979.99 / $2,371.19 / $6,518.77	Professional		$979.99	$2,371.19	$6,518.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,721.38 / $3,180.15 / $4,878.43	Facility		$2,721.38	$3,180.15	$4,878.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.59 / $4,155.21 / $4,721.83	Professional		$1,604.59	$4,155.21	$4,721.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,027.52 / $1,371.99 / $2,374.75	Facility		$1,027.52	$1,371.99	$2,374.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,027.52 / $2,042.29 / $13,250.00	Facility		$1,027.52	$2,042.29	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,157.66 / $2,148.44 / $10,228.59	Professional		$1,157.66	$2,148.44	$10,228.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $605.97 / $2,023.36	Professional		$94.25	$605.97	$2,023.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,027.52 / $1,371.82 / $2,374.75	Facility		$1,027.52	$1,371.82	$2,374.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,038.40 / $2,483.71 / $3,707.69	Professional		$2,038.40	$2,483.71	$3,707.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,743.68 / $9,743.68 / $9,743.68	Facility		$9,743.68	$9,743.68	$9,743.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,944.04 / $4,893.30 / $10,228.59	Professional		$1,944.04	$4,893.30	$10,228.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,415.69 / $3,415.69 / $3,415.69	Professional		$3,415.69	$3,415.69	$3,415.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,444.29 / $5,534.15 / $6,612.73	Professional		$2,444.29	$5,534.15	$6,612.73
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 $1,126.15 / $2,103.27 / $4,452.89	Professional		$1,126.15	$2,103.27	$4,452.89