Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,446.91 / $4,791.55 / $14,482.00	Facility		$1,446.91	$4,791.55	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.57 / $1,446.91 / $3,908.14	Professional		$1,229.57	$1,446.91	$3,908.14
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 $1,288.07 / $2,968.02 / $7,653.39	Professional		$1,288.07	$2,968.02	$7,653.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,368.39 / $3,936.23 / $6,038.27	Facility		$3,368.39	$3,936.23	$6,038.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,507.63 / $4,492.97 / $5,377.30	Professional		$1,507.63	$4,492.97	$5,377.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,314.39 / $1,692.88 / $2,814.71	Facility		$1,314.39	$1,692.88	$2,814.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,292.14 / $1,853.91 / $4,821.00	Facility		$1,292.14	$1,853.91	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,422.31 / $3,186.34 / $9,909.92	Professional		$1,422.31	$3,186.34	$9,909.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,199.92 / $2,939.85	Professional		$119.10	$1,199.92	$2,939.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,314.39 / $1,674.49 / $2,814.71	Facility		$1,314.39	$1,674.49	$2,814.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,484.60 / $3,313.63 / $5,439.95	Professional		$2,484.60	$3,313.63	$5,439.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,566.26 / $12,661.92 / $12,661.92	Facility		$1,566.26	$12,661.92	$12,661.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,321.37 / $6,465.05 / $9,909.92	Professional		$2,321.37	$6,465.05	$9,909.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,825.81 / $4,825.81 / $4,825.81	Professional		$4,825.81	$4,825.81	$4,825.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,343.46 / $6,565.70 / $6,565.70	Professional		$4,343.46	$6,565.70	$6,565.70
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 $1,346.29 / $2,572.06 / $5,834.71	Professional		$1,346.29	$2,572.06	$5,834.71