Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $2,307.28 / $14,482.00	Facility		$1,030.36	$2,307.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.36 / $1,166.94 / $4,358.21	Professional		$1,030.36	$1,166.94	$4,358.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,070.41 / $2,192.92 / $6,042.08	Professional		$1,070.41	$2,192.92	$6,042.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,903.41 / $3,392.86 / $5,204.74	Facility		$2,903.41	$3,392.86	$5,204.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,672.15 / $4,337.12 / $4,928.55	Professional		$1,672.15	$4,337.12	$4,928.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,498.57 / $2,307.29	Facility		$1,030.36	$1,498.57	$2,307.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,805.50 / $5,261.00	Facility		$1,030.36	$1,805.50	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,068.08 / $2,095.79 / $9,520.27	Professional		$1,068.08	$2,095.79	$9,520.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $962.50 / $2,446.97	Professional		$147.01	$962.50	$2,446.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,442.52 / $2,307.29	Facility		$1,030.36	$1,442.52	$2,307.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,384.85 / $2,905.85 / $4,337.85	Professional		$2,384.85	$2,905.85	$4,337.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,240.94 / $15,240.94 / $15,240.94	Facility		$15,240.94	$15,240.94	$15,240.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,178.96 / $5,334.30 / $9,520.27	Professional		$2,178.96	$5,334.30	$9,520.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,871.49 / $3,871.49 / $3,871.49	Professional		$3,871.49	$3,871.49	$3,871.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,829.84 / $5,271.15 / $6,494.50	Professional		$2,829.84	$5,271.15	$6,494.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,523.30 / $6,072.00	Facility		$2,960.00	$4,523.30	$6,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.73 / $2,095.79 / $4,800.87	Professional		$1,081.73	$2,095.79	$4,800.87