Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.57 / $2,293.63 / $14,482.00	Facility		$1,232.57	$2,293.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.28 / $1,232.57 / $3,303.18	Professional		$1,050.28	$1,232.57	$3,303.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,482.00 / $5,962.00	Facility		$1,905.00	$3,482.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.14 / $2,528.35 / $6,518.39	Professional		$1,095.14	$2,528.35	$6,518.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,879.98 / $3,365.48 / $5,162.74	Facility		$2,879.98	$3,365.48	$5,162.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.03 / $3,845.31 / $4,585.04	Professional		$1,262.03	$3,845.31	$4,585.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,040.36 / $1,353.47 / $2,412.00	Facility		$1,040.36	$1,353.47	$2,412.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,050.28 / $1,533.20 / $4,377.80	Facility		$1,050.28	$1,533.20	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,175.66 / $2,595.53 / $8,423.68	Professional		$1,175.66	$2,595.53	$8,423.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $1,039.58 / $2,524.28	Professional		$94.16	$1,039.58	$2,524.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,019.39 / $1,364.06 / $2,412.00	Facility		$1,019.39	$1,364.06	$2,412.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,112.00 / $2,816.70 / $4,638.46	Professional		$2,112.00	$2,816.70	$4,638.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,323.47 / $10,762.08 / $10,762.08	Facility		$1,323.47	$10,762.08	$10,762.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,961.65 / $5,478.30 / $8,423.68	Professional		$1,961.65	$5,478.30	$8,423.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,110.14 / $4,110.14 / $4,110.14	Professional		$4,110.14	$4,110.14	$4,110.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,705.48 / $5,598.36 / $5,598.36	Professional		$3,705.48	$5,598.36	$5,598.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,121.01 / $2,211.66 / $4,944.17	Professional		$1,121.01	$2,211.66	$4,944.17