Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.64 / $2,592.04 / $14,482.00	Facility		$1,235.64	$2,592.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,184.96 / $1,275.72 / $5,873.23	Professional		$1,184.96	$1,275.72	$5,873.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,224.83 / $2,844.87 / $7,275.79	Professional		$1,224.83	$2,844.87	$7,275.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,269.26 / $3,820.39 / $5,860.58	Facility		$3,269.26	$3,820.39	$5,860.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,848.12 / $5,020.30 / $5,704.89	Professional		$1,848.12	$5,020.30	$5,704.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,235.64 / $1,728.03 / $2,709.70	Facility		$1,235.64	$1,728.03	$2,709.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,235.64 / $2,543.19 / $13,250.00	Facility		$1,235.64	$2,543.19	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.94 / $2,469.71 / $9,657.29	Professional		$1,348.94	$2,469.71	$9,657.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $758.80 / $2,458.39	Professional		$126.60	$758.80	$2,458.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,235.64 / $1,720.90 / $2,709.70	Facility		$1,235.64	$1,720.90	$2,709.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,509.65 / $3,057.91 / $4,564.85	Professional		$2,509.65	$3,057.91	$4,564.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,892.32 / $11,892.32 / $11,892.32	Facility		$11,892.32	$11,892.32	$11,892.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,348.79 / $6,143.55 / $9,657.29	Professional		$2,348.79	$6,143.55	$9,657.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,091.62 / $4,091.62 / $4,091.62	Professional		$4,091.62	$4,091.62	$4,091.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,410.64 / $6,281.68 / $7,989.57	Professional		$3,410.64	$6,281.68	$7,989.57
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 $1,336.40 / $2,578.19 / $5,834.78	Professional		$1,336.40	$2,578.19	$5,834.78