Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.15 / $2,705.20 / $14,482.00	Facility		$1,452.15	$2,705.20	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.17 / $1,452.15 / $3,915.11	Professional		$1,235.17	$1,452.15	$3,915.11
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 $1,292.23 / $2,978.78 / $7,673.00	Professional		$1,292.23	$2,978.78	$7,673.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,386.41 / $3,957.29 / $6,070.58	Facility		$3,386.41	$3,957.29	$6,070.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,512.24 / $4,524.04 / $5,405.28	Professional		$1,512.24	$4,524.04	$5,405.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.19 / $1,683.23 / $2,760.25	Facility		$1,318.19	$1,683.23	$2,760.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,294.76 / $1,855.48 / $4,821.00	Facility		$1,294.76	$1,855.48	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,423.52 / $3,203.89 / $9,957.20	Professional		$1,423.52	$3,203.89	$9,957.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,218.08 / $3,011.30	Professional		$119.10	$1,218.08	$3,011.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,318.19 / $1,683.23 / $2,760.25	Facility		$1,318.19	$1,683.23	$2,760.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,498.40 / $3,332.03 / $5,468.25	Professional		$2,498.40	$3,332.03	$5,468.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,572.50 / $12,722.72 / $12,722.72	Facility		$1,572.50	$12,722.72	$12,722.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,331.89 / $6,470.55 / $9,957.20	Professional		$2,331.89	$6,470.55	$9,957.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,838.18 / $4,838.18 / $4,838.18	Professional		$4,838.18	$4,838.18	$4,838.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,370.39 / $6,599.83 / $6,599.83	Professional		$4,370.39	$6,599.83	$6,599.83
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 $1,380.04 / $2,834.10 / $5,862.32	Professional		$1,380.04	$2,834.10	$5,862.32