Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,526.45 / $2,547.88 / $14,482.00	Facility		$1,526.45	$2,547.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.75 / $1,526.45 / $5,326.03	Professional		$1,165.75	$1,526.45	$5,326.03
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 $1,152.86 / $3,366.40 / $7,764.85	Professional		$1,152.86	$3,366.40	$7,764.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,287.29 / $3,841.45 / $6,196.13	Facility		$3,287.29	$3,841.45	$6,196.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,687.25 / $3,840.54 / $5,192.67	Professional		$1,687.25	$3,840.54	$5,192.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,245.63 / $1,785.95 / $2,434.64	Facility		$1,245.63	$1,785.95	$2,434.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,358.87 / $5,266.00 / $15,126.00	Facility		$1,358.87	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,378.70 / $3,643.34 / $8,278.87	Professional		$1,378.70	$3,643.34	$8,278.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $779.00 / $2,425.91	Professional		$107.61	$779.00	$2,425.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,358.87 / $1,785.95 / $2,434.64	Facility		$1,358.87	$1,785.95	$2,434.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,427.75 / $3,748.82 / $5,040.93	Professional		$2,427.75	$3,748.82	$5,040.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,548.35 / $21,548.35 / $21,548.35	Facility		$21,548.35	$21,548.35	$21,548.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,746.63 / $5,833.15 / $9,287.68	Professional		$1,746.63	$5,833.15	$9,287.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,069.80 / $3,069.80 / $3,069.80	Professional		$3,069.80	$3,069.80	$3,069.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,375.23 / $7,495.22 / $7,495.22	Professional		$3,375.23	$7,495.22	$7,495.22
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 $1,399.96 / $3,448.47 / $5,214.84	Professional		$1,399.96	$3,448.47	$5,214.84