Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,333.80 / $2,501.66 / $14,482.00	Facility		$1,333.80	$2,501.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.54 / $1,333.80 / $4,220.39	Professional		$1,086.54	$1,333.80	$4,220.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,198.70 / $3,305.06 / $6,778.13	Professional		$1,198.70	$3,305.06	$6,778.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.03 / $3,695.08 / $5,960.04	Facility		$3,162.03	$3,695.08	$5,960.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,834.55 / $3,624.70 / $5,018.01	Professional		$1,834.55	$3,624.70	$5,018.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,246.82 / $1,507.75 / $3,709.03	Facility		$1,246.82	$1,507.75	$3,709.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,333.80 / $3,709.03 / $14,978.00	Facility		$1,333.80	$3,709.03	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,397.14 / $3,013.55 / $5,846.47	Professional		$1,397.14	$3,013.55	$5,846.47
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 $1,246.82 / $1,507.75 / $3,709.03	Facility		$1,246.82	$1,507.75	$3,709.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,427.10 / $3,747.82 / $4,414.71	Professional		$2,427.10	$3,747.82	$4,414.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,899.50 / $10,899.50 / $10,899.50	Facility		$10,899.50	$10,899.50	$10,899.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,890.22 / $6,027.10 / $9,209.36	Professional		$1,890.22	$6,027.10	$9,209.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,047.26 / $3,047.26 / $3,047.26	Professional		$3,047.26	$3,047.26	$3,047.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,237.11 / $6,621.61 / $6,621.61	Professional		$3,237.11	$6,621.61	$6,621.61
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,397.14 / $3,220.55 / $5,282.75	Professional		$1,397.14	$3,220.55	$5,282.75