Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.20 / $3,038.26 / $14,482.00	Facility		$1,443.20	$3,038.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,389.25 / $1,502.17 / $6,859.01	Professional		$1,389.25	$1,502.17	$6,859.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.50 / $3,330.47 / $8,498.60	Professional		$1,440.50	$3,330.47	$8,498.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,823.45 / $4,468.01 / $6,854.04	Facility		$3,823.45	$4,468.01	$6,854.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,878.56 / $5,885.06 / $6,687.56	Professional		$1,878.56	$5,885.06	$6,687.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,323.44 / $1,688.54 / $3,064.92	Facility		$1,323.44	$1,688.54	$3,064.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,350.34 / $2,451.01 / $14,246.00	Facility		$1,350.34	$2,451.01	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,283.55 / $2,898.22 / $11,038.40	Professional		$1,283.55	$2,898.22	$11,038.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $899.67 / $2,847.95	Professional		$126.60	$899.67	$2,847.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,323.44 / $1,688.54 / $3,064.92	Facility		$1,323.44	$1,688.54	$3,064.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,965.95 / $3,613.90 / $5,394.83	Professional		$2,965.95	$3,613.90	$5,394.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,513.20 / $10,513.20 / $10,513.20	Facility		$10,513.20	$10,513.20	$10,513.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,753.37 / $7,174.70 / $11,038.40	Professional		$2,753.37	$7,174.70	$11,038.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,779.28 / $4,779.28 / $4,779.28	Professional		$4,779.28	$4,779.28	$4,779.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,046.38 / $7,363.60 / $9,365.71	Professional		$2,046.38	$7,363.60	$9,365.71
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.82 / $2,898.22 / $7,042.33	Professional		$1,400.82	$2,898.22	$7,042.33