Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.46 / $2,259.98 / $14,482.00	Facility		$1,012.46	$2,259.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.46 / $1,137.01 / $4,268.87	Professional		$1,012.46	$1,137.01	$4,268.87
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 $1,069.04 / $2,479.48 / $6,244.62	Professional		$1,069.04	$2,479.48	$6,244.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,845.74 / $3,325.47 / $5,101.35	Facility		$2,845.74	$3,325.47	$5,101.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.85 / $4,242.28 / $4,820.78	Professional		$1,653.85	$4,242.28	$4,820.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,012.46 / $1,502.38 / $2,259.98	Facility		$1,012.46	$1,502.38	$2,259.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,012.46 / $1,603.11 / $13,250.00	Facility		$1,012.46	$1,603.11	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,219.31 / $2,182.15 / $8,216.16	Professional		$1,219.31	$2,182.15	$8,216.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $688.60 / $2,243.78	Professional		$83.50	$688.60	$2,243.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,012.46 / $1,496.66 / $2,259.98	Facility		$1,012.46	$1,496.66	$2,259.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,206.10 / $2,688.05 / $4,012.73	Professional		$2,206.10	$2,688.05	$4,012.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,348.38 / $6,348.38 / $18,766.91	Facility		$6,348.38	$6,348.38	$18,766.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,131.28 / $5,327.40 / $8,216.16	Professional		$2,131.28	$5,327.40	$8,216.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,810.73 / $3,810.73 / $3,810.73	Professional		$3,810.73	$3,810.73	$3,810.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,644.42 / $6,029.72 / $6,352.38	Professional		$3,644.42	$6,029.72	$6,352.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,212.56 / $2,204.66 / $4,669.47	Professional		$1,212.56	$2,204.66	$4,669.47