Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,383.86 / $5,787.71 / $14,482.00	Facility		$2,383.86	$5,787.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.23 / $2,383.86 / $7,459.10	Professional		$1,502.23	$2,383.86	$7,459.10
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 $1,465.94 / $3,077.89 / $7,229.25	Professional		$1,465.94	$3,077.89	$7,229.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,200.12 / $4,908.17 / $7,916.71	Facility		$4,200.12	$4,908.17	$7,916.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,801.00 / $3,820.58 / $5,716.65	Professional		$1,801.00	$3,820.58	$5,716.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,443.32 / $2,052.32 / $3,220.70	Facility		$1,443.32	$2,052.32	$3,220.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,525.56 / $5,959.65 / $11,598.00	Facility		$1,525.56	$5,959.65	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,488.37 / $3,104.18 / $11,778.64	Professional		$1,488.37	$3,104.18	$11,778.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.09 / $877.73 / $2,623.90	Professional		$153.09	$877.73	$2,623.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,443.32 / $2,052.32 / $3,549.00	Facility		$1,443.32	$2,052.32	$3,549.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,805.00 / $3,702.60 / $5,255.64	Professional		$2,805.00	$3,702.60	$5,255.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,094.00 / $11,094.00 / $11,094.00	Facility		$11,094.00	$11,094.00	$11,094.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,615.46 / $7,459.10 / $11,778.64	Professional		$2,615.46	$7,459.10	$11,778.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,489.51 / $7,489.51 / $7,489.51	Professional		$7,489.51	$7,489.51	$7,489.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,668.76 / $9,670.70 / $15,366.11	Professional		$5,668.76	$9,670.70	$15,366.11
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 $1,500.38 / $3,131.68 / $6,653.52	Professional		$1,500.38	$3,131.68	$6,653.52