Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,035.84 / $4,902.95 / $14,482.00	Facility		$2,035.84	$4,902.95	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.91 / $2,035.84 / $6,203.75	Professional		$1,262.91	$2,035.84	$6,203.75
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 $1,198.80 / $2,628.54 / $6,404.00	Professional		$1,198.80	$2,628.54	$6,404.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,592.77 / $4,198.43 / $6,771.92	Facility		$3,592.77	$4,198.43	$6,771.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,531.10 / $3,248.03 / $6,562.79	Professional		$1,531.10	$3,248.03	$6,562.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,222.68 / $1,678.32 / $2,730.00	Facility		$1,222.68	$1,678.32	$2,730.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,294.63 / $5,089.60 / $11,598.00	Facility		$1,294.63	$5,089.60	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,222.68 / $2,581.75 / $10,548.90	Professional		$1,222.68	$2,581.75	$10,548.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $742.32 / $2,211.32	Professional		$91.28	$742.32	$2,211.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,222.68 / $1,678.32 / $2,737.83	Facility		$1,222.68	$1,678.32	$2,737.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,375.40 / $3,135.53 / $4,680.72	Professional		$2,375.40	$3,135.53	$4,680.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,409.35 / $11,409.35 / $11,409.35	Facility		$11,409.35	$11,409.35	$11,409.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,229.65 / $6,203.75 / $10,548.90	Professional		$2,229.65	$6,203.75	$10,548.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,413.41 / $6,413.41 / $6,413.41	Professional		$6,413.41	$6,413.41	$6,413.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,618.56 / $8,281.19 / $13,099.39	Professional		$4,618.56	$8,281.19	$13,099.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,017.00 / $9,158.00 / $12,062.00	Facility		$4,017.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,222.68 / $2,481.50 / $5,437.59	Professional		$1,222.68	$2,481.50	$5,437.59