Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.95 / $2,367.16 / $14,482.00	Facility		$1,124.95	$2,367.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.86 / $1,204.80 / $4,471.30	Professional		$1,082.86	$1,204.80	$4,471.30
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 $1,117.22 / $2,596.04 / $6,597.42	Professional		$1,117.22	$2,596.04	$6,597.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,975.50 / $3,477.11 / $5,333.97	Facility		$2,975.50	$3,477.11	$5,333.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,684.19 / $4,579.31 / $5,203.76	Professional		$1,684.19	$4,579.31	$5,203.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,124.95 / $1,634.29 / $2,551.50	Facility		$1,124.95	$1,634.29	$2,551.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,124.95 / $2,322.00 / $14,246.00	Facility		$1,124.95	$2,322.00	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,285.63 / $2,268.44 / $8,589.84	Professional		$1,285.63	$2,268.44	$8,589.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $701.66 / $2,222.72	Professional		$95.64	$701.66	$2,222.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,124.95 / $1,632.56 / $2,551.50	Facility		$1,124.95	$1,632.56	$2,551.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,310.75 / $2,815.56 / $4,203.08	Professional		$2,310.75	$2,815.56	$4,203.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,547.51 / $9,547.51 / $9,547.51	Facility		$9,547.51	$9,547.51	$9,547.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,142.46 / $5,584.40 / $8,589.84	Professional		$2,142.46	$5,584.40	$8,589.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,710.14 / $3,710.14 / $3,710.14	Professional		$3,710.14	$3,710.14	$3,710.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,405.49 / $5,733.79 / $7,287.74	Professional		$3,405.49	$5,733.79	$7,287.74
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 $1,249.53 / $2,268.44 / $5,081.80	Professional		$1,249.53	$2,268.44	$5,081.80