Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,405.52 / $2,613.31 / $14,482.00	Facility		$1,405.52	$2,613.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,196.53 / $1,405.52 / $2,613.31	Professional		$1,196.53	$1,405.52	$2,613.31
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 $1,249.06 / $2,883.12 / $7,433.12	Professional		$1,249.06	$2,883.12	$7,433.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,280.08 / $3,833.03 / $5,879.97	Facility		$3,280.08	$3,833.03	$5,879.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.88 / $4,377.06 / $5,226.46	Professional		$1,459.88	$4,377.06	$5,226.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,276.89 / $1,584.12 / $2,730.00	Facility		$1,276.89	$1,584.12	$2,730.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,274.41 / $1,748.68 / $4,821.00	Facility		$1,274.41	$1,748.68	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,365.11 / $3,021.07 / $9,613.04	Professional		$1,365.11	$3,021.07	$9,613.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $901.38 / $2,774.41	Professional		$90.40	$901.38	$2,774.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,274.41 / $1,585.60 / $2,730.00	Facility		$1,274.41	$1,585.60	$2,730.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,409.00 / $3,212.80 / $5,287.36	Professional		$2,409.00	$3,212.80	$5,287.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,513.73 / $12,283.12 / $12,283.12	Facility		$1,513.73	$12,283.12	$12,283.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,241.67 / $6,258.90 / $9,613.04	Professional		$2,241.67	$6,258.90	$9,613.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,686.93 / $4,686.93 / $4,686.93	Professional		$4,686.93	$4,686.93	$4,686.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,473.80 / $6,381.48 / $6,381.48	Professional		$3,473.80	$6,381.48	$6,381.48
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 $1,298.71 / $2,520.40 / $5,648.66	Professional		$1,298.71	$2,520.40	$5,648.66