Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,726.01 / $2,882.43 / $14,482.00	Facility		$1,726.01	$2,882.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.83 / $1,726.01 / $4,094.09	Professional		$1,120.83	$1,726.01	$4,094.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,208.68 / $3,747.82 / $8,362.26	Professional		$1,208.68	$3,747.82	$8,362.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,734.24 / $4,363.76 / $7,038.58	Facility		$3,734.24	$4,363.76	$7,038.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,908.81 / $4,334.92 / $5,911.37	Professional		$1,908.81	$4,334.92	$5,911.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,537.30 / $2,019.43 / $4,448.26	Facility		$1,537.30	$2,019.43	$4,448.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,537.30 / $4,448.26 / $15,126.00	Facility		$1,537.30	$4,448.26	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,438.53 / $3,849.44 / $9,475.61	Professional		$1,438.53	$3,849.44	$9,475.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $873.44 / $2,907.69	Professional		$119.27	$873.44	$2,907.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,409.19 / $2,019.43 / $4,448.26	Facility		$1,409.19	$2,019.43	$4,448.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,757.95 / $4,243.00 / $5,016.50	Professional		$2,757.95	$4,243.00	$5,016.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,971.48 / $6,676.35 / $10,448.87	Professional		$1,971.48	$6,676.35	$10,448.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,481.25 / $3,481.25 / $3,481.25	Professional		$3,481.25	$3,481.25	$3,481.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,885.48 / $8,460.01 / $8,460.01	Professional		$2,885.48	$8,460.01	$8,460.01
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.53 / $3,919.05 / $6,021.08	Professional		$1,438.53	$3,919.05	$6,021.08