Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,521.50 / $2,832.93 / $14,482.00	Facility		$1,521.50	$2,832.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,327.78 / $1,521.50 / $4,100.02	Professional		$1,327.78	$1,521.50	$4,100.02
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 $1,361.67 / $3,121.02 / $8,039.58	Professional		$1,361.67	$3,121.02	$8,039.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,547.71 / $4,145.78 / $6,359.73	Facility		$3,547.71	$4,145.78	$6,359.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,603.11 / $4,733.14 / $5,667.84	Professional		$1,603.11	$4,733.14	$5,667.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,118.15 / $1,611.62 / $2,754.21	Facility		$1,118.15	$1,611.62	$2,754.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,259.08 / $1,906.34 / $4,821.00	Facility		$1,259.08	$1,906.34	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,518.07 / $3,400.85 / $10,442.71	Professional		$1,518.07	$3,400.85	$10,442.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,275.32 / $3,021.33	Professional		$119.10	$1,275.32	$3,021.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,118.15 / $1,611.62 / $2,754.21	Facility		$1,118.15	$1,611.62	$2,754.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,611.19 / $3,482.47 / $5,733.87	Professional		$2,611.19	$3,482.47	$5,733.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,648.58 / $13,322.48 / $13,322.48	Facility		$1,648.58	$13,322.48	$13,322.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,433.02 / $6,801.75 / $10,442.71	Professional		$2,433.02	$6,801.75	$10,442.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,069.33 / $5,069.33 / $5,069.33	Professional		$5,069.33	$5,069.33	$5,069.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,781.97 / $6,920.44 / $6,920.44	Professional		$4,781.97	$6,920.44	$6,920.44
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 $1,463.23 / $3,101.60 / $7,233.81	Professional		$1,463.23	$3,101.60	$7,233.81