Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.79 / $2,161.87 / $14,482.00	Facility		$1,165.79	$2,161.87	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.75 / $1,165.79 / $3,169.01	Professional		$1,016.75	$1,165.79	$3,169.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,523.00 / $18,603.00	Facility		$7,084.00	$11,523.00	$18,603.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,053.42 / $2,391.37 / $6,174.62	Professional		$1,053.42	$2,391.37	$6,174.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,703.36 / $3,159.09 / $4,846.13	Facility		$2,703.36	$3,159.09	$4,846.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,441.16 / $3,701.26 / $4,331.71	Professional		$1,441.16	$3,701.26	$4,331.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,061.99 / $1,345.16 / $2,290.00	Facility		$1,061.99	$1,345.16	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,056.91 / $1,530.17 / $5,887.00	Facility		$1,056.91	$1,530.17	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,237.73 / $2,339.98 / $8,001.12	Professional		$1,237.73	$2,339.98	$8,001.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $984.16 / $2,385.93	Professional		$94.16	$984.16	$2,385.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,061.99 / $1,347.26 / $2,290.00	Facility		$1,061.99	$1,347.26	$2,290.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,999.80 / $2,667.07 / $4,382.18	Professional		$1,999.80	$2,667.07	$4,382.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,268.99 / $16,582.02 / $16,582.02	Facility		$1,268.99	$16,582.02	$16,582.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,744.28 / $5,253.30 / $8,001.12	Professional		$1,744.28	$5,253.30	$8,001.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,893.41 / $3,893.41 / $3,893.41	Professional		$3,893.41	$3,893.41	$3,893.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,505.00 / $5,289.05 / $5,289.05	Professional		$3,505.00	$5,289.05	$5,289.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $7,565.00 / $19,003.00	Facility		$2,480.00	$7,565.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,208.43 / $2,300.94 / $4,741.10	Professional		$1,208.43	$2,300.94	$4,741.10