Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.64 / $2,824.74 / $14,482.00	Facility		$1,342.64	$2,824.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.14 / $1,396.90 / $6,365.96	Professional		$1,292.14	$1,396.90	$6,365.96
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 $1,326.46 / $3,098.41 / $8,295.37	Professional		$1,326.46	$3,098.41	$8,295.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,557.62 / $4,157.35 / $6,377.50	Facility		$3,557.62	$4,157.35	$6,377.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,009.53 / $5,475.27 / $6,221.90	Professional		$2,009.53	$5,475.27	$6,221.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,342.64 / $1,883.16 / $2,983.00	Facility		$1,342.64	$1,883.16	$2,983.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,342.64 / $2,770.66 / $14,246.00	Facility		$1,342.64	$2,770.66	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,469.11 / $2,702.30 / $10,697.50	Professional		$1,469.11	$2,702.30	$10,697.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $828.69 / $2,621.53	Professional		$126.60	$828.69	$2,621.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,342.64 / $1,879.70 / $2,983.00	Facility		$1,342.64	$1,879.70	$2,983.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,757.95 / $3,360.46 / $5,016.50	Professional		$2,757.95	$3,360.46	$5,016.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,411.40 / $11,411.40 / $11,411.40	Facility		$11,411.40	$11,411.40	$11,411.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,561.64 / $6,658.95 / $10,697.50	Professional		$2,561.64	$6,658.95	$10,697.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,449.43 / $4,449.43 / $4,449.43	Professional		$4,449.43	$4,449.43	$4,449.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,057.27 / $6,848.78 / $8,713.61	Professional		$4,057.27	$6,848.78	$8,713.61
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 $1,450.01 / $2,583.67 / $6,059.64	Professional		$1,450.01	$2,583.67	$6,059.64