Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,683.98 / $3,127.68 / $14,482.00	Facility		$1,683.98	$3,127.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.86 / $1,683.98 / $4,394.89	Professional		$1,417.86	$1,683.98	$4,394.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,511.18 / $3,454.32 / $8,839.74	Professional		$1,511.18	$3,454.32	$8,839.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,932.49 / $4,595.42 / $7,049.50	Facility		$3,932.49	$4,595.42	$7,049.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,703.40 / $5,241.00 / $6,263.11	Professional		$1,703.40	$5,241.00	$6,263.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,478.11 / $1,954.65 / $3,330.65	Facility		$1,478.11	$1,954.65	$3,330.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,463.87 / $2,115.65 / $4,821.00	Facility		$1,463.87	$2,115.65	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,612.84 / $3,556.15 / $11,410.40	Professional		$1,612.84	$3,556.15	$11,410.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $1,043.43 / $3,163.71	Professional		$88.22	$1,043.43	$3,163.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,463.87 / $1,954.65 / $3,178.99	Facility		$1,463.87	$1,954.65	$3,178.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,766.00 / $3,688.92 / $6,336.09	Professional		$2,766.00	$3,688.92	$6,336.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,749.91 / $14,320.48 / $14,320.48	Facility		$1,749.91	$14,320.48	$14,320.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,446.76 / $7,513.20 / $11,410.40	Professional		$2,446.76	$7,513.20	$11,410.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,573.90 / $5,573.90 / $5,573.90	Professional		$5,573.90	$5,573.90	$5,573.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,056.17 / $7,647.28 / $7,647.28	Professional		$5,056.17	$7,647.28	$7,647.28
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 $1,595.19 / $3,090.92 / $6,780.66	Professional		$1,595.19	$3,090.92	$6,780.66