Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.05 / $2,664.41 / $14,482.00	Facility		$1,430.05	$2,664.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.73 / $1,430.05 / $3,855.53	Professional		$1,215.73	$1,430.05	$3,855.53
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 $1,273.58 / $2,933.43 / $7,557.38	Professional		$1,273.58	$2,933.43	$7,557.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,334.14 / $3,896.21 / $5,976.89	Facility		$3,334.14	$3,896.21	$5,976.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,489.31 / $4,457.12 / $5,321.35	Professional		$1,489.31	$4,457.12	$5,321.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,298.83 / $1,664.37 / $2,730.00	Facility		$1,298.83	$1,664.37	$2,730.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,298.83 / $1,838.01 / $4,821.00	Facility		$1,298.83	$1,838.01	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,403.40 / $3,149.03 / $9,845.53	Professional		$1,403.40	$3,149.03	$9,845.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,210.63 / $2,869.31	Professional		$119.10	$1,210.63	$2,869.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,282.46 / $1,662.38 / $2,730.00	Facility		$1,282.46	$1,662.38	$2,730.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,460.00 / $3,280.82 / $5,383.34	Professional		$2,460.00	$3,280.82	$5,383.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,547.29 / $12,521.68 / $12,521.68	Facility		$1,547.29	$12,521.68	$12,521.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,295.11 / $6,371.55 / $9,845.53	Professional		$2,295.11	$6,371.55	$9,845.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,765.28 / $4,765.28 / $4,765.28	Professional		$4,765.28	$4,765.28	$4,765.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,631.70 / $6,497.35 / $6,497.35	Professional		$3,631.70	$6,497.35	$6,497.35
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 $1,386.70 / $2,544.90 / $5,750.32	Professional		$1,386.70	$2,544.90	$5,750.32