Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,712.21 / $4,207.05 / $14,482.00	Facility		$1,712.21	$4,207.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.60 / $1,712.21 / $4,458.85	Professional		$1,067.60	$1,712.21	$4,458.85
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 $1,084.16 / $2,210.69 / $5,340.53	Professional		$1,084.16	$2,210.69	$5,340.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,024.16 / $3,533.97 / $5,700.17	Facility		$3,024.16	$3,533.97	$5,700.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,844.00 / $3,632.39 / $4,127.71	Professional		$1,844.00	$3,632.39	$4,127.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,049.14 / $1,533.14 / $2,239.46	Facility		$1,049.14	$1,533.14	$2,239.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,100.46 / $4,280.53 / $11,598.00	Facility		$1,100.46	$4,280.53	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,129.52 / $2,322.51 / $8,521.60	Professional		$1,129.52	$2,322.51	$8,521.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $638.84 / $1,847.57	Professional		$115.96	$638.84	$1,847.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,049.14 / $1,533.14 / $2,335.09	Facility		$1,049.14	$1,533.14	$2,335.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,039.40 / $2,692.01 / $3,821.16	Professional		$2,039.40	$2,692.01	$3,821.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,348.85 / $9,348.85 / $9,348.85	Facility		$9,348.85	$9,348.85	$9,348.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,856.13 / $8,521.60 / $8,521.60	Professional		$4,856.13	$8,521.60	$8,521.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,414.53 / $6,905.95 / $11,095.01	Professional		$4,414.53	$6,905.95	$11,095.01
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.95 / $2,247.34 / $4,978.07	Professional		$1,114.95	$2,247.34	$4,978.07