Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.94 / $2,596.57 / $14,482.00	Facility		$1,395.94	$2,596.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.47 / $1,395.94 / $3,769.81	Professional		$1,218.47	$1,395.94	$3,769.81
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 $1,253.68 / $2,863.47 / $7,378.00	Professional		$1,253.68	$2,863.47	$7,378.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.34 / $3,798.28 / $5,826.66	Facility		$3,250.34	$3,798.28	$5,826.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,532.94 / $4,334.04 / $5,196.51	Professional		$1,532.94	$4,334.04	$5,196.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,269.43 / $1,637.39 / $2,522.10	Facility		$1,269.43	$1,637.39	$2,522.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,269.43 / $1,789.74 / $4,821.00	Facility		$1,269.43	$1,789.74	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,398.83 / $3,134.44 / $9,581.52	Professional		$1,398.83	$3,134.44	$9,581.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,162.01 / $2,868.39	Professional		$119.10	$1,162.01	$2,868.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,269.43 / $1,633.25 / $2,522.10	Facility		$1,269.43	$1,633.25	$2,522.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,396.40 / $3,196.00 / $5,257.05	Professional		$2,396.40	$3,196.00	$5,257.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,514.70 / $24,443.68 / $24,443.68	Facility		$1,514.70	$24,443.68	$24,443.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,237.31 / $6,254.55 / $9,581.52	Professional		$2,237.31	$6,254.55	$9,581.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,652.17 / $4,652.17 / $4,652.17	Professional		$4,652.17	$4,652.17	$4,652.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,194.89 / $6,344.96 / $6,344.96	Professional		$4,194.89	$6,344.96	$6,344.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,356.60 / $2,550.02 / $5,644.73	Professional		$1,356.60	$2,550.02	$5,644.73