Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,284.17 / $5,544.55 / $14,482.00	Facility		$2,284.17	$5,544.55	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,432.76 / $2,284.17 / $7,128.85	Professional		$1,432.76	$2,284.17	$7,128.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,399.03 / $2,949.19 / $6,926.96	Professional		$1,399.03	$2,949.19	$6,926.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,028.01 / $4,707.04 / $7,592.30	Facility		$4,028.01	$4,707.04	$7,592.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,726.33 / $3,662.18 / $5,479.16	Professional		$1,726.33	$3,662.18	$5,479.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,382.68 / $1,958.64 / $3,076.50	Facility		$1,382.68	$1,958.64	$3,076.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,459.46 / $5,710.45 / $11,598.00	Facility		$1,459.46	$5,710.45	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,423.94 / $2,966.74 / $11,285.44	Professional		$1,423.94	$2,966.74	$11,285.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $824.80 / $2,497.53	Professional		$123.62	$824.80	$2,497.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,382.68 / $1,958.64 / $3,086.99	Facility		$1,382.68	$1,958.64	$3,086.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,687.40 / $3,547.37 / $5,035.29	Professional		$2,687.40	$3,547.37	$5,035.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,633.56 / $10,633.56 / $10,633.56	Facility		$10,633.56	$10,633.56	$10,633.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,506.81 / $7,128.85 / $11,285.44	Professional		$2,506.81	$7,128.85	$11,285.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,175.88 / $7,175.88 / $7,175.88	Professional		$7,175.88	$7,175.88	$7,175.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,435.17 / $9,265.73 / $14,727.70	Professional		$5,435.17	$9,265.73	$14,727.70
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,499.16 / $2,908.57 / $6,400.97	Professional		$1,499.16	$2,908.57	$6,400.97