Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.80 / $2,603.42 / $14,482.00	Facility		$1,282.80	$2,603.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.19 / $1,313.80 / $4,259.58	Professional		$1,203.19	$1,313.80	$4,259.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $9,695.00 / $15,668.00	Facility		$1,183.00	$9,695.00	$15,668.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,255.68 / $3,335.02 / $8,671.79	Professional		$1,255.68	$3,335.02	$8,671.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,264.76 / $3,815.13 / $6,153.67	Facility		$3,264.76	$3,815.13	$6,153.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,724.04 / $3,954.32 / $5,225.60	Professional		$1,724.04	$3,954.32	$5,225.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,272.79 / $1,633.70 / $2,487.71	Facility		$1,272.79	$1,633.70	$2,487.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,272.79 / $2,398.00 / $4,514.00	Facility		$1,272.79	$2,398.00	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,485.83 / $3,429.83 / $8,609.44	Professional		$1,485.83	$3,429.83	$8,609.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,053.92 / $2,716.82	Professional		$85.00	$1,053.92	$2,716.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,272.79 / $1,633.70 / $2,487.71	Facility		$1,272.79	$1,633.70	$2,487.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,481.05 / $3,831.12 / $5,185.13	Professional		$2,481.05	$3,831.12	$5,185.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,372.25 / $10,372.25 / $10,372.25	Facility		$10,372.25	$10,372.25	$10,372.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,762.19 / $6,236.05 / $10,527.44	Professional		$1,762.19	$6,236.05	$10,527.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,496.12 / $6,496.12 / $6,496.12	Professional		$6,496.12	$6,496.12	$6,496.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,082.54 / $7,477.21 / $7,477.21	Professional		$6,082.54	$7,477.21	$7,477.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,088.30 / $4,985.00	Facility		$1,957.00	$3,088.30	$4,985.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,333.15 / $3,575.38 / $6,114.45	Professional		$1,333.15	$3,575.38	$6,114.45