Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.40 / $2,961.85 / $14,482.00	Facility		$1,407.40	$2,961.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.95 / $1,464.42 / $6,691.90	Professional		$1,354.95	$1,464.42	$6,691.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,405.02 / $3,247.85 / $8,293.20	Professional		$1,405.02	$3,247.85	$8,293.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,727.03 / $4,355.33 / $6,681.19	Facility		$3,727.03	$4,355.33	$6,681.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,833.97 / $5,738.87 / $6,521.44	Professional		$1,833.97	$5,738.87	$6,521.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,316.38 / $1,646.66 / $3,015.44	Facility		$1,316.38	$1,646.66	$3,015.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,359.55 / $2,830.22 / $11,598.00	Facility		$1,359.55	$2,830.22	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,316.38 / $2,828.14 / $10,766.00	Professional		$1,316.38	$2,828.14	$10,766.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $883.05 / $2,810.00	Professional		$126.60	$883.05	$2,810.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,316.38 / $1,646.66 / $3,015.44	Facility		$1,316.38	$1,646.66	$3,015.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,891.85 / $3,523.61 / $5,260.05	Professional		$2,891.85	$3,523.61	$5,260.05
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 $2,684.97 / $6,999.90 / $10,766.00	Professional		$2,684.97	$6,999.90	$10,766.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,663.81 / $4,663.81 / $4,663.81	Professional		$4,663.81	$4,663.81	$4,663.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.82 / $7,183.73 / $9,133.06	Professional		$2,344.82	$7,183.73	$9,133.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,660.81 / $9,158.00 / $12,062.00	Facility		$5,660.81	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,433.63 / $2,799.96 / $6,411.91	Professional		$1,433.63	$2,799.96	$6,411.91