Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.60 / $2,446.76 / $14,482.00	Facility		$1,093.60	$2,446.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.60 / $1,120.90 / $4,126.60	Professional		$1,093.60	$1,120.90	$4,126.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,154.08 / $3,228.50 / $8,875.32	Professional		$1,154.08	$3,228.50	$8,875.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,072.82 / $3,590.83 / $5,791.89	Facility		$3,072.82	$3,590.83	$5,791.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,174.90 / $4,600.39 / $5,227.72	Professional		$2,174.90	$4,600.39	$5,227.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,093.60 / $1,615.73 / $3,454.00	Facility		$1,093.60	$1,615.73	$3,454.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,196.20 / $5,266.00 / $15,743.00	Facility		$1,196.20	$5,266.00	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,374.82 / $3,056.36 / $8,801.73	Professional		$1,374.82	$3,056.36	$8,801.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $1,033.69 / $2,682.39	Professional		$137.33	$1,033.69	$2,682.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,093.60 / $1,662.11 / $3,454.00	Facility		$1,093.60	$1,662.11	$3,454.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,540.19 / $3,908.00 / $5,159.07	Professional		$2,540.19	$3,908.00	$5,159.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,689.56 / $17,689.56 / $17,689.56	Facility		$17,689.56	$17,689.56	$17,689.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,311.19 / $5,704.00 / $13,288.09	Professional		$2,311.19	$5,704.00	$13,288.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,112.14 / $4,112.14 / $4,112.14	Professional		$4,112.14	$4,112.14	$4,112.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,994.20 / $6,888.65 / $6,888.65	Professional		$3,994.20	$6,888.65	$6,888.65
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 $1,374.82 / $3,833.09 / $5,765.15	Professional		$1,374.82	$3,833.09	$5,765.15