Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.63 / $2,351.88 / $14,482.00	Facility		$1,158.63	$2,351.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.70 / $1,184.36 / $3,838.80	Professional		$1,086.70	$1,184.36	$3,838.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,133.08 / $3,003.80 / $7,830.31	Professional		$1,133.08	$3,003.80	$7,830.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,949.37 / $3,446.57 / $5,559.19	Facility		$2,949.37	$3,446.57	$5,559.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,557.47 / $3,572.16 / $4,720.22	Professional		$1,557.47	$3,572.16	$4,720.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,149.81 / $1,511.91 / $2,247.35	Facility		$1,149.81	$1,511.91	$2,247.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,158.63 / $4,240.00 / $12,631.00	Facility		$1,158.63	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,339.38 / $3,094.85 / $7,761.48	Professional		$1,339.38	$3,094.85	$7,761.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $965.54 / $2,471.98	Professional		$85.00	$965.54	$2,471.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,149.81 / $1,511.91 / $2,247.35	Facility		$1,149.81	$1,511.91	$2,247.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,241.85 / $3,461.76 / $4,674.45	Professional		$2,241.85	$3,461.76	$4,674.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,591.88 / $5,627.00 / $9,743.17	Professional		$1,591.88	$5,627.00	$9,743.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,865.74 / $5,865.74 / $5,865.74	Professional		$5,865.74	$5,865.74	$5,865.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,481.69 / $6,754.60 / $6,754.60	Professional		$5,481.69	$6,754.60	$6,754.60
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,882.00 / $12,631.00	Facility		$6,241.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,304.98 / $3,304.46 / $6,232.92	Professional		$1,304.98	$3,304.46	$6,232.92