Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.88 / $2,491.94 / $14,482.00	Facility		$1,326.88	$2,491.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.15 / $1,326.88 / $4,216.62	Professional		$1,082.15	$1,326.88	$4,216.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $18,603.00	Facility		$7,084.00	$12,066.00	$18,603.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,196.72 / $3,299.10 / $6,740.07	Professional		$1,196.72	$3,299.10	$6,740.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,148.51 / $3,679.29 / $5,934.56	Facility		$3,148.51	$3,679.29	$5,934.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,827.43 / $3,608.62 / $4,999.39	Professional		$1,827.43	$3,608.62	$4,999.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,239.04 / $1,499.58 / $4,493.89	Facility		$1,239.04	$1,499.58	$4,493.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,326.88 / $2,678.00 / $7,700.00	Facility		$1,326.88	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,433.41 / $3,013.55 / $5,816.08	Professional		$1,433.41	$3,013.55	$5,816.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $779.49 / $2,493.34	Professional		$117.74	$779.49	$2,493.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,239.04 / $1,499.58 / $4,493.89	Facility		$1,239.04	$1,499.58	$4,493.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,417.35 / $3,732.76 / $4,396.97	Professional		$2,417.35	$3,732.76	$4,396.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,119.41 / $10,119.41 / $10,119.41	Facility		$10,119.41	$10,119.41	$10,119.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,881.84 / $6,027.10 / $9,166.95	Professional		$1,881.84	$6,027.10	$9,166.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,030.17 / $3,030.17 / $3,030.17	Professional		$3,030.17	$3,030.17	$3,030.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,252.49 / $6,592.28 / $6,592.28	Professional		$3,252.49	$6,592.28	$6,592.28
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 $1,375.40 / $3,448.78 / $5,282.75	Professional		$1,375.40	$3,448.78	$5,282.75