Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.31 / $2,872.60 / $14,482.00	Facility		$1,287.31	$2,872.60	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.31 / $1,448.70 / $5,426.02	Professional		$1,287.31	$1,448.70	$5,426.02
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 $1,365.16 / $3,152.59 / $7,947.25	Professional		$1,365.16	$3,152.59	$7,947.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.49 / $4,222.64 / $6,477.65	Facility		$3,613.49	$4,222.64	$6,477.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,136.82 / $5,392.59 / $6,127.94	Professional		$2,136.82	$5,392.59	$6,127.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,287.31 / $1,884.00 / $2,872.60	Facility		$1,287.31	$1,884.00	$2,872.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,287.31 / $2,005.15 / $13,250.00	Facility		$1,287.31	$2,005.15	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,533.13 / $2,812.22 / $11,055.60	Professional		$1,533.13	$2,812.22	$11,055.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $882.21 / $2,890.32	Professional		$123.62	$882.21	$2,890.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,287.31 / $1,836.56 / $2,872.60	Facility		$1,287.31	$1,836.56	$2,872.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,808.00 / $3,421.44 / $5,107.54	Professional		$2,808.00	$3,421.44	$5,107.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,348.38 / $6,348.38 / $17,524.30	Facility		$6,348.38	$6,348.38	$17,524.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,709.20 / $6,800.05 / $11,055.60	Professional		$2,709.20	$6,800.05	$11,055.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,849.77 / $4,849.77 / $4,849.77	Professional		$4,849.77	$4,849.77	$4,849.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,597.01 / $7,729.11 / $8,074.89	Professional		$4,597.01	$7,729.11	$8,074.89
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 $1,529.51 / $2,774.42 / $6,120.05	Professional		$1,529.51	$2,774.42	$6,120.05