Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.96 / $4,406.39 / $14,482.00	Facility		$1,326.96	$4,406.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.75 / $1,326.96 / $3,140.70	Professional		$1,129.75	$1,326.96	$3,140.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,844.00 / $22,609.00	Facility		$10,878.00	$14,844.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.20 / $2,721.98 / $7,008.89	Professional		$1,167.20	$2,721.98	$7,008.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,096.25 / $3,618.21 / $5,550.43	Facility		$3,096.25	$3,618.21	$5,550.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.94 / $4,136.88 / $4,939.26	Professional		$1,380.94	$4,136.88	$4,939.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.04 / $1,550.29 / $2,632.81	Facility		$1,202.04	$1,550.29	$2,632.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,181.96 / $1,680.30 / $16,461.00	Facility		$1,181.96	$1,680.30	$16,461.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,307.32 / $2,792.40 / $9,094.16	Professional		$1,307.32	$2,792.40	$9,094.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $857.33 / $2,618.23	Professional		$90.40	$857.33	$2,618.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,181.96 / $1,538.39 / $2,632.81	Facility		$1,181.96	$1,538.39	$2,632.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,281.80 / $3,043.16 / $4,996.82	Professional		$2,281.80	$3,043.16	$4,996.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,434.80 / $22,189.40 / $22,189.40	Facility		$1,434.80	$22,189.40	$22,189.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,007.03 / $5,899.60 / $9,094.16	Professional		$2,007.03	$5,899.60	$9,094.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,419.45 / $4,419.45 / $4,419.45	Professional		$4,419.45	$4,419.45	$4,419.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,994.32 / $6,030.84 / $6,030.84	Professional		$3,994.32	$6,030.84	$6,030.84
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $20,827.00	Facility		$8,650.00	$14,566.00	$20,827.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.97 / $2,899.07 / $6,112.81	Professional		$1,288.97	$2,899.07	$6,112.81