Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,457.62 / $2,711.45 / $14,482.00	Facility		$1,457.62	$2,711.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,272.78 / $1,457.62 / $3,942.73	Professional		$1,272.78	$1,457.62	$3,942.73
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 $1,311.63 / $2,989.99 / $7,708.88	Professional		$1,311.63	$2,989.99	$7,708.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,393.62 / $3,965.71 / $6,083.50	Facility		$3,393.62	$3,965.71	$6,083.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.41 / $4,524.04 / $5,429.08	Professional		$1,667.41	$4,524.04	$5,429.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,325.82 / $1,735.25 / $2,806.53	Facility		$1,325.82	$1,735.25	$2,806.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,325.60 / $1,949.48 / $4,821.00	Facility		$1,325.60	$1,949.48	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,462.71 / $3,279.14 / $11,130.10	Professional		$1,462.71	$3,279.14	$11,130.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,212.02 / $2,944.41	Professional		$119.10	$1,212.02	$2,944.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,325.82 / $1,710.64 / $2,806.53	Facility		$1,325.82	$1,710.64	$2,806.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,503.19 / $3,338.43 / $5,492.32	Professional		$2,503.19	$3,338.43	$5,492.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,584.30 / $25,550.08 / $25,550.08	Facility		$1,584.30	$25,550.08	$25,550.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,338.27 / $6,537.90 / $11,130.10	Professional		$2,338.27	$6,537.90	$11,130.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,860.80 / $4,860.80 / $4,860.80	Professional		$4,860.80	$4,860.80	$4,860.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,380.50 / $6,628.93 / $6,628.93	Professional		$4,380.50	$6,628.93	$6,628.93
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 $1,438.34 / $2,863.60 / $6,780.84	Professional		$1,438.34	$2,863.60	$6,780.84