Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,378.90 / $2,569.96 / $14,482.00	Facility		$1,378.90	$2,569.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.33 / $1,378.90 / $3,706.88	Professional		$1,203.33	$1,378.90	$3,706.88
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 $1,228.21 / $2,828.52 / $7,283.78	Professional		$1,228.21	$2,828.52	$7,283.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,221.50 / $3,764.58 / $5,774.97	Facility		$3,221.50	$3,764.58	$5,774.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.42 / $4,297.00 / $5,142.10	Professional		$1,561.42	$4,297.00	$5,142.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,251.60 / $1,524.03 / $2,500.82	Facility		$1,251.60	$1,524.03	$2,500.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,223.59 / $1,689.67 / $4,821.00	Facility		$1,223.59	$1,689.67	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,372.41 / $3,071.59 / $9,465.68	Professional		$1,372.41	$3,071.59	$9,465.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $884.82 / $2,694.25	Professional		$90.40	$884.82	$2,694.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,216.38 / $1,518.78 / $2,500.82	Facility		$1,216.38	$1,518.78	$2,500.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,366.40 / $3,155.99 / $5,202.01	Professional		$2,366.40	$3,155.99	$5,202.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,491.88 / $24,152.64 / $24,152.64	Facility		$1,491.88	$24,152.64	$24,152.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,201.21 / $6,153.15 / $9,465.68	Professional		$2,201.21	$6,153.15	$9,465.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,592.79 / $4,592.79 / $4,592.79	Professional		$4,592.79	$4,592.79	$4,592.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,309.83 / $6,278.51 / $6,278.51	Professional		$4,309.83	$6,278.51	$6,278.51
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 $1,355.58 / $2,837.83 / $6,375.52	Professional		$1,355.58	$2,837.83	$6,375.52