Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,432.40 / $2,389.69 / $14,482.00	Facility		$1,432.40	$2,389.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.47 / $1,432.40 / $5,031.72	Professional		$1,167.47	$1,432.40	$5,031.72
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 $1,076.48 / $3,335.92 / $7,513.35	Professional		$1,076.48	$3,335.92	$7,513.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,088.14 / $3,608.73 / $5,820.76	Facility		$3,088.14	$3,608.73	$5,820.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,582.51 / $3,604.23 / $4,874.84	Professional		$1,582.51	$3,604.23	$4,874.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,168.30 / $1,675.91 / $2,283.48	Facility		$1,168.30	$1,675.91	$2,283.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,274.51 / $5,266.00 / $15,126.00	Facility		$1,274.51	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,309.03 / $3,603.80 / $7,741.18	Professional		$1,309.03	$3,603.80	$7,741.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $724.70 / $2,286.10	Professional		$94.25	$724.70	$2,286.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,274.51 / $1,675.91 / $2,283.48	Facility		$1,274.51	$1,675.91	$2,283.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,276.30 / $3,514.96 / $4,726.06	Professional		$2,276.30	$3,514.96	$4,726.06
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 $1,639.16 / $5,454.30 / $8,708.71	Professional		$1,639.16	$5,454.30	$8,708.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,880.52 / $2,880.52 / $2,880.52	Professional		$2,880.52	$2,880.52	$2,880.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,553.23 / $7,033.98 / $7,033.98	Professional		$2,553.23	$7,033.98	$7,033.98
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 $1,309.03 / $3,235.99 / $4,876.14	Professional		$1,309.03	$3,235.99	$4,876.14