Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.50 / $2,537.84 / $14,482.00	Facility		$1,362.50	$2,537.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.67 / $1,362.50 / $3,665.05	Professional		$1,188.67	$1,362.50	$3,665.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.03 / $2,794.86 / $7,197.80	Professional		$1,219.03	$2,794.86	$7,197.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,180.95 / $3,717.20 / $5,702.27	Facility		$3,180.95	$3,717.20	$5,702.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,574.52 / $4,242.03 / $5,078.80	Professional		$1,574.52	$4,242.03	$5,078.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,240.72 / $1,617.00 / $2,468.91	Facility		$1,240.72	$1,617.00	$2,468.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,237.11 / $1,813.35 / $4,821.00	Facility		$1,237.11	$1,813.35	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,358.41 / $3,038.37 / $9,351.44	Professional		$1,358.41	$3,038.37	$9,351.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $884.82 / $2,694.25	Professional		$90.40	$884.82	$2,694.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,240.72 / $1,594.13 / $2,468.91	Facility		$1,240.72	$1,594.13	$2,468.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,337.60 / $3,117.58 / $5,137.97	Professional		$2,337.60	$3,117.58	$5,137.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,474.51 / $23,860.96 / $23,860.96	Facility		$1,474.51	$23,860.96	$23,860.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,175.59 / $6,081.30 / $9,351.44	Professional		$2,175.59	$6,081.30	$9,351.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,538.56 / $4,538.56 / $4,538.56	Professional		$4,538.56	$4,538.56	$4,538.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,100.03 / $6,201.25 / $6,201.25	Professional		$4,100.03	$6,201.25	$6,201.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,335.15 / $2,471.21 / $5,488.37	Professional		$1,335.15	$2,471.21	$5,488.37