Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.40 / $2,557.98 / $14,482.00	Facility		$1,375.40	$2,557.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.77 / $1,375.40 / $3,715.39	Professional		$1,168.77	$1,375.40	$3,715.39
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 $1,227.43 / $2,821.32 / $7,275.97	Professional		$1,227.43	$2,821.32	$7,275.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,202.58 / $3,742.47 / $5,741.04	Facility		$3,202.58	$3,742.47	$5,741.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,454.27 / $4,275.49 / $5,113.24	Professional		$1,454.27	$4,275.49	$5,113.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,249.80 / $1,609.22 / $2,695.82	Facility		$1,249.80	$1,609.22	$2,695.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,228.36 / $1,762.08 / $4,821.00	Facility		$1,228.36	$1,762.08	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,355.28 / $3,029.24 / $9,422.95	Professional		$1,355.28	$3,029.24	$9,422.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,165.50 / $2,863.83	Professional		$119.10	$1,165.50	$2,863.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,249.80 / $1,595.66 / $2,695.82	Facility		$1,249.80	$1,595.66	$2,695.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,364.60 / $3,153.59 / $5,172.81	Professional		$2,364.60	$3,153.59	$5,172.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,489.16 / $12,039.04 / $12,039.04	Facility		$1,489.16	$12,039.04	$12,039.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,209.94 / $6,147.30 / $9,422.95	Professional		$2,209.94	$6,147.30	$9,422.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,587.83 / $4,587.83 / $4,587.83	Professional		$4,587.83	$4,587.83	$4,587.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,473.80 / $6,243.29 / $6,243.29	Professional		$3,473.80	$6,243.29	$6,243.29
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 $1,320.97 / $2,609.73 / $5,569.45	Professional		$1,320.97	$2,609.73	$5,569.45