Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.66 / $2,369.03 / $14,482.00	Facility		$1,061.66	$2,369.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.66 / $1,192.67 / $4,474.83	Professional		$1,061.66	$1,192.67	$4,474.83
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 $1,122.21 / $2,546.80 / $6,323.32	Professional		$1,122.21	$2,546.80	$6,323.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,983.61 / $3,486.58 / $5,348.51	Facility		$2,983.61	$3,486.58	$5,348.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.50 / $4,448.25 / $5,054.83	Professional		$1,798.50	$4,448.25	$5,054.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,061.66 / $1,486.32 / $2,369.03	Facility		$1,061.66	$1,486.32	$2,369.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,061.66 / $1,652.63 / $11,100.00	Facility		$1,061.66	$1,652.63	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,289.54 / $2,252.42 / $8,617.68	Professional		$1,289.54	$2,252.42	$8,617.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $929.67 / $2,467.11	Professional		$114.21	$929.67	$2,467.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,061.66 / $1,375.59 / $2,369.03	Facility		$1,061.66	$1,375.59	$2,369.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,314.00 / $2,819.52 / $4,208.99	Professional		$2,314.00	$2,819.52	$4,208.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $6,840.65	Facility		$1,900.50	$1,900.50	$6,840.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,234.77 / $5,592.10 / $8,617.68	Professional		$2,234.77	$5,592.10	$8,617.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,997.71 / $3,997.71 / $3,997.71	Professional		$3,997.71	$3,997.71	$3,997.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,723.39 / $6,522.07 / $6,660.82	Professional		$3,723.39	$6,522.07	$6,660.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.73 / $2,252.42 / $4,901.47	Professional		$1,258.73	$2,252.42	$4,901.47