Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.54 / $2,448.67 / $14,482.00	Facility		$1,305.54	$2,448.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.52 / $1,305.54 / $4,126.89	Professional		$1,063.52	$1,305.54	$4,126.89
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 $1,163.74 / $3,229.21 / $6,635.40	Professional		$1,163.74	$3,229.21	$6,635.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,095.35 / $3,617.16 / $5,834.35	Facility		$3,095.35	$3,617.16	$5,834.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,795.70 / $3,547.68 / $4,910.63	Professional		$1,795.70	$3,547.68	$4,910.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,197.13 / $1,475.72 / $2,339.85	Facility		$1,197.13	$1,475.72	$2,339.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,305.54 / $5,266.00 / $14,978.00	Facility		$1,305.54	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,356.21 / $2,941.85 / $5,722.57	Professional		$1,356.21	$2,941.85	$5,722.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $754.42 / $2,454.29	Professional		$117.33	$754.42	$2,454.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,197.13 / $1,475.72 / $2,339.85	Facility		$1,197.13	$1,475.72	$2,339.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,375.75 / $3,668.52 / $4,321.31	Professional		$2,375.75	$3,668.52	$4,321.31
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 $1,850.06 / $5,883.70 / $9,012.79	Professional		$1,850.06	$5,883.70	$9,012.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,983.09 / $2,983.09 / $2,983.09	Professional		$2,983.09	$2,983.09	$2,983.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,939.50 / $6,480.93 / $6,480.93	Professional		$2,939.50	$6,480.93	$6,480.93
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 $1,356.21 / $3,365.67 / $5,157.06	Professional		$1,356.21	$3,365.67	$5,157.06