Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.23 / $2,314.76 / $14,482.00	Facility		$1,037.23	$2,314.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.23 / $1,164.99 / $4,372.31	Professional		$1,037.23	$1,164.99	$4,372.31
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 $1,093.86 / $2,540.15 / $6,399.83	Professional		$1,093.86	$2,540.15	$6,399.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,915.12 / $3,406.55 / $5,225.74	Facility		$2,915.12	$3,406.55	$5,225.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,694.94 / $4,345.95 / $4,938.58	Professional		$1,694.94	$4,345.95	$4,938.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,037.23 / $1,475.85 / $2,314.76	Facility		$1,037.23	$1,475.85	$2,314.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,037.23 / $1,614.41 / $13,250.00	Facility		$1,037.23	$1,614.41	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,199.26 / $2,239.94 / $8,418.24	Professional		$1,199.26	$2,239.94	$8,418.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.95 / $897.32 / $2,388.97	Professional		$122.95	$897.32	$2,388.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,037.23 / $1,475.85 / $2,314.76	Facility		$1,037.23	$1,475.85	$2,314.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,260.05 / $2,753.78 / $4,110.85	Professional		$2,260.05	$2,753.78	$4,110.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,046.36 / $8,046.36 / $22,211.50	Facility		$8,046.36	$8,046.36	$22,211.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,183.38 / $5,460.95 / $8,418.24	Professional		$2,183.38	$5,460.95	$8,418.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,905.47 / $3,905.47 / $3,905.47	Professional		$3,905.47	$3,905.47	$3,905.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,702.75 / $6,385.51 / $6,507.67	Professional		$3,702.75	$6,385.51	$6,507.67
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,199.26 / $2,228.07 / $4,786.52	Professional		$1,199.26	$2,228.07	$4,786.52