Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.33 / $2,524.81 / $14,482.00	Facility		$1,199.33	$2,524.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.89 / $1,248.41 / $5,684.85	Professional		$1,153.89	$1,248.41	$5,684.85
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 $1,192.85 / $2,767.69 / $7,060.04	Professional		$1,192.85	$2,767.69	$7,060.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,179.15 / $3,715.09 / $5,699.04	Facility		$3,179.15	$3,715.09	$5,699.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,797.18 / $4,890.72 / $5,557.65	Professional		$1,797.18	$4,890.72	$5,557.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,199.33 / $1,670.00 / $2,650.52	Facility		$1,199.33	$1,670.00	$2,650.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,199.33 / $2,376.00 / $14,246.00	Facility		$1,199.33	$2,376.00	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,305.93 / $2,604.57 / $9,168.87	Professional		$1,305.93	$2,604.57	$9,168.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $758.76 / $2,404.07	Professional		$126.60	$758.76	$2,404.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,199.33 / $1,596.57 / $2,650.52	Facility		$1,199.33	$1,596.57	$2,650.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,463.50 / $3,001.68 / $4,480.92	Professional		$2,463.50	$3,001.68	$4,480.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,734.56 / $8,734.56 / $8,734.56	Facility		$8,734.56	$8,734.56	$8,734.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,288.16 / $5,946.50 / $9,168.87	Professional		$2,288.16	$5,946.50	$9,168.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,970.32 / $3,970.32 / $3,970.32	Professional		$3,970.32	$3,970.32	$3,970.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,570.89 / $6,113.47 / $7,783.27	Professional		$3,570.89	$6,113.47	$7,783.27
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 $1,279.51 / $2,366.44 / $5,446.99	Professional		$1,279.51	$2,366.44	$5,446.99