Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,706.30 / $4,181.14 / $14,482.00	Facility		$1,706.30	$4,181.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.81 / $1,358.98 / $3,096.11	Professional		$1,072.81	$1,358.98	$3,096.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,128.67 / $2,203.07 / $5,845.33	Professional		$1,128.67	$2,203.07	$5,845.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,002.53 / $3,508.70 / $5,659.40	Facility		$3,002.53	$3,508.70	$5,659.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,366.79 / $2,746.43 / $5,530.94	Professional		$1,366.79	$2,746.43	$5,530.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,100.74 / $1,616.15 / $2,250.60	Facility		$1,100.74	$1,616.15	$2,250.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,251.22 / $7,301.00 / $15,702.00	Facility		$1,251.22	$7,301.00	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.35 / $2,276.42 / $7,917.70	Professional		$1,174.35	$2,276.42	$7,917.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $613.92 / $1,837.79	Professional		$115.96	$613.92	$1,837.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,100.74 / $1,616.15 / $2,315.53	Facility		$1,100.74	$1,616.15	$2,315.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,026.80 / $2,675.38 / $3,993.81	Professional		$2,026.80	$2,675.38	$3,993.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,879.05 / $11,879.05 / $11,879.05	Facility		$11,879.05	$11,879.05	$11,879.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,802.49 / $5,584.55 / $9,602.35	Professional		$1,802.49	$5,584.55	$9,602.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,482.98 / $7,145.48 / $11,039.72	Professional		$2,482.98	$7,145.48	$11,039.72
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.66 / $2,153.40 / $4,859.42	Professional		$1,092.66	$2,153.40	$4,859.42