Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,248.57 / $2,627.26 / $14,482.00	Facility		$1,248.57	$2,627.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.83 / $1,298.85 / $5,905.12	Professional		$1,200.83	$1,298.85	$5,905.12
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 $1,235.98 / $2,881.31 / $7,350.56	Professional		$1,235.98	$2,881.31	$7,350.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.62 / $3,869.89 / $5,936.50	Facility		$3,311.62	$3,869.89	$5,936.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.82 / $5,092.85 / $5,787.33	Professional		$1,870.82	$5,092.85	$5,787.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,248.57 / $1,784.43 / $2,759.34	Facility		$1,248.57	$1,784.43	$2,759.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,248.57 / $2,520.00 / $14,246.00	Facility		$1,248.57	$2,520.00	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,404.32 / $2,504.62 / $9,545.36	Professional		$1,404.32	$2,504.62	$9,545.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $765.31 / $2,432.23	Professional		$126.60	$765.31	$2,432.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,248.57 / $1,784.43 / $2,759.34	Facility		$1,248.57	$1,784.43	$2,759.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,562.30 / $3,122.06 / $4,660.63	Professional		$2,562.30	$3,122.06	$4,660.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,608.92 / $10,608.92 / $10,608.92	Facility		$10,608.92	$10,608.92	$10,608.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,382.71 / $6,176.90 / $9,545.36	Professional		$2,382.71	$6,176.90	$9,545.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,133.68 / $4,133.68 / $4,133.68	Professional		$4,133.68	$4,133.68	$4,133.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,750.23 / $6,361.01 / $8,104.93	Professional		$3,750.23	$6,361.01	$8,104.93
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 $1,378.62 / $2,485.30 / $5,620.98	Professional		$1,378.62	$2,485.30	$5,620.98