Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,238.79 / $2,324.00 / $14,482.00	Facility		$1,238.79	$2,324.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.00 / $1,238.79 / $4,658.00	Professional		$1,016.00	$1,238.79	$4,658.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,082.00 / $15,579.70	Facility		$6,538.00	$10,082.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,102.27 / $3,060.21 / $6,294.96	Professional		$1,102.27	$3,060.21	$6,294.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,938.55 / $3,433.93 / $5,538.81	Facility		$2,938.55	$3,433.93	$5,538.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,704.27 / $3,367.23 / $4,662.95	Professional		$1,704.27	$3,367.23	$4,662.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,156.90 / $1,399.89 / $3,373.65	Facility		$1,156.90	$1,399.89	$3,373.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,238.79 / $3,373.65 / $11,598.00	Facility		$1,238.79	$3,373.65	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.44 / $2,788.35 / $5,430.00	Professional		$1,288.44	$2,788.35	$5,430.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $702.34 / $2,254.99	Professional		$95.26	$702.34	$2,254.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,156.90 / $1,399.89 / $3,373.65	Facility		$1,156.90	$1,399.89	$3,373.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,254.85 / $3,481.84 / $4,101.39	Professional		$2,254.85	$3,481.84	$4,101.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,442.58 / $9,442.58 / $9,442.58	Facility		$9,442.58	$9,442.58	$9,442.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,755.97 / $5,576.70 / $8,553.12	Professional		$1,755.97	$5,576.70	$8,553.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,830.03 / $2,830.03 / $2,830.03	Professional		$2,830.03	$2,830.03	$2,830.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,789.84 / $6,151.29 / $6,151.29	Professional		$2,789.84	$6,151.29	$6,151.29
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.44 / $3,347.91 / $4,887.97	Professional		$1,288.44	$3,347.91	$4,887.97