Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,185.54 / $2,481.03 / $14,482.00	Facility		$1,185.54	$2,481.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,135.53 / $1,226.60 / $5,405.75	Professional		$1,135.53	$1,226.60	$5,405.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,111.07 / $2,325.48 / $6,985.34	Professional		$1,111.07	$2,325.48	$6,985.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,152.12 / $3,683.50 / $5,650.58	Facility		$3,152.12	$3,683.50	$5,650.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,773.47 / $4,826.87 / $5,485.08	Professional		$1,773.47	$4,826.87	$5,485.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,185.54 / $1,498.35 / $2,513.34	Facility		$1,185.54	$1,498.35	$2,513.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,185.54 / $2,301.87 / $15,090.00	Facility		$1,185.54	$2,301.87	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,176.84 / $2,273.13 / $9,013.36	Professional		$1,176.84	$2,273.13	$9,013.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $704.89 / $2,286.30	Professional		$126.60	$704.89	$2,286.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,185.54 / $1,491.50 / $2,513.34	Facility		$1,185.54	$1,491.50	$2,513.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,410.19 / $2,936.74 / $4,383.97	Professional		$2,410.19	$2,936.74	$4,383.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,132.00 / $17,132.00	Facility		$17,132.00	$17,132.00	$17,132.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,258.29 / $5,654.55 / $9,013.36	Professional		$2,258.29	$5,654.55	$9,013.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,934.09 / $3,934.09 / $3,934.09	Professional		$3,934.09	$3,934.09	$3,934.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.65 / $5,966.68 / $7,681.67	Professional		$2,131.65	$5,966.68	$7,681.67
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,176.84 / $2,261.82 / $4,976.00	Professional		$1,176.84	$2,261.82	$4,976.00