Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.40 / $2,501.64 / $14,482.00	Facility		$1,231.40	$2,501.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,155.57 / $1,255.69 / $4,068.64	Professional		$1,155.57	$1,255.69	$4,068.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,152.00	Facility		$5,060.00	$7,979.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,200.75 / $3,120.12 / $8,321.41	Professional		$1,200.75	$3,120.12	$8,321.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,138.60 / $3,667.70 / $5,915.88	Facility		$3,138.60	$3,667.70	$5,915.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,656.64 / $3,799.05 / $5,022.30	Professional		$1,656.64	$3,799.05	$5,022.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,223.02 / $1,619.95 / $2,440.14	Facility		$1,223.02	$1,619.95	$2,440.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,231.40 / $2,480.85 / $7,700.00	Facility		$1,231.40	$2,480.85	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,406.24 / $3,281.85 / $8,220.59	Professional		$1,406.24	$3,281.85	$8,220.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,012.96 / $2,620.74	Professional		$85.00	$1,012.96	$2,620.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,231.40 / $1,681.05 / $2,440.14	Facility		$1,231.40	$1,681.05	$2,440.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,383.55 / $3,680.57 / $4,950.95	Professional		$2,383.55	$3,680.57	$4,950.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,964.64 / $9,964.64 / $9,964.64	Facility		$9,964.64	$9,964.64	$9,964.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,692.98 / $5,967.00 / $9,764.62	Professional		$1,692.98	$5,967.00	$9,764.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,233.66 / $6,233.66 / $6,233.66	Professional		$6,233.66	$6,233.66	$6,233.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,809.87 / $7,183.55 / $7,183.55	Professional		$5,809.87	$7,183.55	$7,183.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,383.11 / $3,383.73 / $5,869.47	Professional		$1,383.11	$3,383.73	$5,869.47