Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.60 / $1,894.00 / $14,482.00	Facility		$1,171.60	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.60 / $1,319.19 / $4,935.47	Professional		$1,171.60	$1,319.19	$4,935.47
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 $1,241.63 / $2,869.25 / $7,235.38	Professional		$1,241.63	$2,869.25	$7,235.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,287.29 / $3,841.45 / $5,892.89	Facility		$3,287.29	$3,841.45	$5,892.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,989.28 / $4,906.10 / $5,575.13	Professional		$1,989.28	$4,906.10	$5,575.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,158.08 / $1,393.55 / $2,612.90	Facility		$1,158.08	$1,393.55	$2,612.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,161.29 / $1,825.16 / $13,250.00	Facility		$1,161.29	$1,825.16	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,414.79 / $2,572.34 / $10,045.50	Professional		$1,414.79	$2,572.34	$10,045.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $794.56 / $2,575.20	Professional		$123.62	$794.56	$2,575.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,158.08 / $1,393.55 / $2,612.90	Facility		$1,158.08	$1,393.55	$2,612.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,553.85 / $3,111.77 / $4,645.26	Professional		$2,553.85	$3,111.77	$4,645.26
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 $2,464.80 / $6,187.70 / $10,045.50	Professional		$2,464.80	$6,187.70	$10,045.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,415.35 / $4,415.35 / $4,415.35	Professional		$4,415.35	$4,415.35	$4,415.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,252.22 / $6,904.95 / $7,346.46	Professional		$4,252.22	$6,904.95	$7,346.46
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 $1,370.31 / $2,410.56 / $5,460.41	Professional		$1,370.31	$2,410.56	$5,460.41