Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.80 / $5,171.06 / $14,482.00	Facility		$1,557.80	$5,171.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.70 / $1,557.80 / $4,205.52	Professional		$1,323.70	$1,557.80	$4,205.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,382.63 / $3,195.49 / $8,233.78	Professional		$1,382.63	$3,195.49	$8,233.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,629.71 / $4,241.60 / $6,506.73	Facility		$3,629.71	$4,241.60	$6,506.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,619.73 / $4,850.25 / $5,795.88	Professional		$1,619.73	$4,850.25	$5,795.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,390.28 / $1,805.36 / $3,059.00	Facility		$1,390.28	$1,805.36	$3,059.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,390.28 / $2,001.13 / $4,821.00	Facility		$1,390.28	$2,001.13	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,540.20 / $3,287.25 / $10,680.88	Professional		$1,540.20	$3,287.25	$10,680.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,279.54 / $3,175.19	Professional		$119.10	$1,279.54	$3,175.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,362.82 / $1,805.36 / $3,059.00	Facility		$1,362.82	$1,805.36	$3,059.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,682.00 / $3,576.89 / $5,863.41	Professional		$2,682.00	$3,576.89	$5,863.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,687.91 / $13,645.60 / $13,645.60	Facility		$1,687.91	$13,645.60	$13,645.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,372.73 / $6,945.10 / $10,680.88	Professional		$2,372.73	$6,945.10	$10,680.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,191.81 / $5,191.81 / $5,191.81	Professional		$5,191.81	$5,191.81	$5,191.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,687.47 / $7,076.76 / $7,076.76	Professional		$4,687.47	$7,076.76	$7,076.76
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 $1,445.89 / $2,957.92 / $6,267.95	Professional		$1,445.89	$2,957.92	$6,267.95