Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.90 / $3,036.13 / $9,245.00	Facility		$1,330.90	$3,036.13	$9,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.59 / $1,480.71 / $5,063.82	Professional		$1,166.59	$1,480.71	$5,063.82
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 $1,498.68 / $3,814.46 / $8,606.95	Professional		$1,498.68	$3,814.46	$8,606.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,889.23 / $4,544.88 / $7,330.73	Facility		$3,889.23	$4,544.88	$7,330.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,734.26 / $4,353.83 / $6,109.20	Professional		$1,734.26	$4,353.83	$6,109.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,319.33 / $1,645.03 / $2,497.16	Facility		$1,319.33	$1,645.03	$2,497.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,319.48 / $2,364.08 / $14,978.00	Facility		$1,319.48	$2,364.08	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,677.06 / $4,992.09 / $9,020.12	Professional		$1,677.06	$4,992.09	$9,020.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $1,320.44 / $3,226.04	Professional		$123.62	$1,320.44	$3,226.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,319.33 / $1,645.03 / $2,497.16	Facility		$1,319.33	$1,645.03	$2,497.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,700.39 / $3,733.53 / $5,431.68	Professional		$2,700.39	$3,733.53	$5,431.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,477.40 / $8,477.40 / $8,477.40	Facility		$8,477.40	$8,477.40	$8,477.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,675.90 / $6,249.83 / $11,014.24	Professional		$1,675.90	$6,249.83	$11,014.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,350.52 / $6,041.00 / $7,459.34	Professional		$4,350.52	$6,041.00	$7,459.34
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,556.65 / $4,382.50 / $7,675.00	Professional		$1,556.65	$4,382.50	$7,675.00