Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.33 / $2,542.12 / $14,482.00	Facility		$1,135.33	$2,542.12	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,135.33 / $1,285.50 / $4,801.78	Professional		$1,135.33	$1,285.50	$4,801.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,182.43 / $2,710.20 / $6,858.36	Professional		$1,182.43	$2,710.20	$6,858.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,198.98 / $3,738.26 / $5,734.58	Facility		$3,198.98	$3,738.26	$5,734.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,888.66 / $4,778.76 / $5,430.41	Professional		$1,888.66	$4,778.76	$5,430.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,135.33 / $1,691.64 / $2,730.00	Facility		$1,135.33	$1,691.64	$2,730.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,135.33 / $1,821.20 / $5,887.00	Facility		$1,135.33	$1,821.20	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,357.14 / $2,349.76 / $9,388.40	Professional		$1,357.14	$2,349.76	$9,388.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $1,029.68 / $2,689.27	Professional		$147.01	$1,029.68	$2,689.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,135.33 / $1,691.64 / $2,730.00	Facility		$1,135.33	$1,691.64	$2,730.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,626.65 / $3,200.47 / $4,777.67	Professional		$2,626.65	$3,200.47	$4,777.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,738.14 / $13,738.14 / $13,738.14	Facility		$13,738.14	$13,738.14	$13,738.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,400.82 / $5,874.40 / $9,388.40	Professional		$2,400.82	$5,874.40	$9,388.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,264.88 / $4,264.88 / $4,264.88	Professional		$4,264.88	$4,264.88	$4,264.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,680.28 / $6,593.10 / $7,155.74	Professional		$3,680.28	$6,593.10	$7,155.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,346.64 / $2,154.09 / $5,286.96	Professional		$1,346.64	$2,154.09	$5,286.96