Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,254.34 / $2,437.63 / $14,482.00	Facility		$1,254.34	$2,437.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.46 / $1,254.34 / $3,836.97	Professional		$1,053.46	$1,254.34	$3,836.97
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 $1,121.51 / $3,034.06 / $6,361.35	Professional		$1,121.51	$3,034.06	$6,361.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,086.34 / $3,606.63 / $5,817.36	Facility		$3,086.34	$3,606.63	$5,817.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.59 / $3,521.93 / $4,912.06	Professional		$1,787.59	$3,521.93	$4,912.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,191.73 / $1,414.91 / $4,510.77	Facility		$1,191.73	$1,414.91	$4,510.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,254.34 / $4,240.00 / $11,598.00	Facility		$1,254.34	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,304.34 / $2,831.55 / $5,498.20	Professional		$1,304.34	$2,831.55	$5,498.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $724.04 / $2,468.25	Professional		$107.61	$724.04	$2,468.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,191.73 / $1,414.91 / $4,510.77	Facility		$1,191.73	$1,414.91	$4,510.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,356.90 / $3,576.90 / $4,287.02	Professional		$2,356.90	$3,576.90	$4,287.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,670.20 / $12,670.20 / $12,670.20	Facility		$12,670.20	$12,670.20	$12,670.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,836.64 / $5,596.45 / $9,922.94	Professional		$1,836.64	$5,596.45	$9,922.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,859.88 / $2,859.88 / $2,859.88	Professional		$2,859.88	$2,859.88	$2,859.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,022.08 / $6,433.93 / $6,433.93	Professional		$3,022.08	$6,433.93	$6,433.93
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 $1,270.98 / $3,780.40 / $5,192.37	Professional		$1,270.98	$3,780.40	$5,192.37