Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,098.23 / $5,052.80 / $14,482.00	Facility		$2,098.23	$5,052.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,301.65 / $2,098.23 / $6,402.60	Professional		$1,301.65	$2,098.23	$6,402.60
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 $1,238.83 / $2,709.12 / $6,597.22	Professional		$1,238.83	$2,709.12	$6,597.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,704.50 / $4,329.01 / $6,982.53	Facility		$3,704.50	$4,329.01	$6,982.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,577.77 / $3,347.03 / $6,766.35	Professional		$1,577.77	$3,347.03	$6,766.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,260.05 / $1,734.38 / $2,821.57	Facility		$1,260.05	$1,734.38	$2,821.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,334.48 / $5,245.60 / $11,598.00	Facility		$1,334.48	$5,245.60	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,260.05 / $2,648.01 / $11,139.99	Professional		$1,260.05	$2,648.01	$11,139.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $768.97 / $2,211.32	Professional		$123.62	$768.97	$2,211.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,260.05 / $1,734.38 / $2,866.50	Facility		$1,260.05	$1,734.38	$2,866.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,447.40 / $3,230.57 / $4,822.60	Professional		$2,447.40	$3,230.57	$4,822.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,749.04 / $9,749.04 / $9,749.04	Facility		$9,749.04	$9,749.04	$9,749.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,298.81 / $6,402.60 / $11,139.99	Professional		$2,298.81	$6,402.60	$11,139.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.90 / $6,606.90 / $6,606.90	Professional		$6,606.90	$6,606.90	$6,606.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,728.71 / $8,531.04 / $13,505.66	Professional		$4,728.71	$8,531.04	$13,505.66
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 $1,260.05 / $2,276.71 / $5,571.25	Professional		$1,260.05	$2,276.71	$5,571.25