Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.47 / $2,638.69 / $14,482.00	Facility		$1,389.47	$2,638.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.86 / $1,389.47 / $4,185.87	Professional		$1,140.86	$1,389.47	$4,185.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,139.00 / $19,992.00	Facility		$6,538.00	$11,139.00	$19,992.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,234.83 / $3,340.22 / $7,048.84	Professional		$1,234.83	$3,340.22	$7,048.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,344.06 / $3,907.79 / $6,303.13	Facility		$3,344.06	$3,907.79	$6,303.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,935.04 / $3,811.91 / $5,322.95	Professional		$1,935.04	$3,811.91	$5,322.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,290.03 / $1,563.89 / $2,585.38	Facility		$1,290.03	$1,563.89	$2,585.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,389.47 / $6,974.21 / $19,754.00	Facility		$1,389.47	$6,974.21	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,422.96 / $3,161.15 / $6,090.45	Professional		$1,422.96	$3,161.15	$6,090.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $798.57 / $2,631.61	Professional		$107.61	$798.57	$2,631.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,290.03 / $1,563.89 / $2,585.38	Facility		$1,290.03	$1,563.89	$2,585.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,549.30 / $3,922.00 / $4,636.97	Professional		$2,549.30	$3,922.00	$4,636.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,182.80 / $12,182.80 / $12,182.80	Facility		$12,182.80	$12,182.80	$12,182.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,987.86 / $6,136.80 / $10,596.79	Professional		$1,987.86	$6,136.80	$10,596.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,168.97 / $3,168.97 / $3,168.97	Professional		$3,168.97	$3,168.97	$3,168.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,167.60 / $6,963.65 / $6,963.65	Professional		$3,167.60	$6,963.65	$6,963.65
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $14,566.00 / $19,562.00	Facility		$8,452.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.51 / $3,161.15 / $5,378.91	Professional		$1,388.51	$3,161.15	$5,378.91