Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.40 / $3,982.93 / $14,482.00	Facility		$1,635.40	$3,982.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.92 / $1,635.40 / $5,241.89	Professional		$1,031.92	$1,635.40	$5,241.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,035.06 / $2,111.52 / $5,092.57	Professional		$1,035.06	$2,111.52	$5,092.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,882.68 / $3,368.64 / $5,433.50	Facility		$2,882.68	$3,368.64	$5,433.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.48 / $2,625.15 / $3,929.61	Professional		$1,237.48	$2,625.15	$3,929.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $993.25 / $1,464.12 / $2,212.71	Facility		$993.25	$1,464.12	$2,212.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,049.49 / $5,266.00 / $14,978.00	Facility		$1,049.49	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,038.31 / $2,181.46 / $8,106.72	Professional		$1,038.31	$2,181.46	$8,106.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $609.34 / $1,770.26	Professional		$91.28	$609.34	$1,770.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $993.25 / $1,464.12 / $2,502.71	Facility		$993.25	$1,464.12	$2,502.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,930.80 / $2,548.66 / $3,617.68	Professional		$1,930.80	$2,548.66	$3,617.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,900.08 / $8,900.08 / $8,900.08	Facility		$8,900.08	$8,900.08	$8,900.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,797.87 / $5,241.89 / $8,106.72	Professional		$1,797.87	$5,241.89	$8,106.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,126.16 / $5,126.16 / $5,126.16	Professional		$5,126.16	$5,126.16	$5,126.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,051.41 / $6,619.06 / $10,562.69	Professional		$4,051.41	$6,619.06	$10,562.69
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.07 / $2,062.48 / $4,594.53	Professional		$1,047.07	$2,062.48	$4,594.53