Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,108.90 / $5,079.59 / $14,482.00	Facility		$2,108.90	$5,079.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.34 / $2,108.90 / $6,436.80	Professional		$1,308.34	$2,108.90	$6,436.80
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 $1,246.05 / $2,722.89 / $6,628.88	Professional		$1,246.05	$2,722.89	$6,628.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,722.53 / $4,350.07 / $7,016.50	Facility		$3,722.53	$4,350.07	$7,016.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,585.93 / $3,364.35 / $6,799.01	Professional		$1,585.93	$3,364.35	$6,799.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,266.73 / $1,744.47 / $2,730.00	Facility		$1,266.73	$1,744.47	$2,730.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,341.46 / $5,272.25 / $11,598.00	Facility		$1,341.46	$5,272.25	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,266.73 / $2,676.72 / $10,377.36	Professional		$1,266.73	$2,676.72	$10,377.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $768.97 / $2,229.51	Professional		$123.62	$768.97	$2,229.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,266.73 / $1,744.47 / $2,836.26	Facility		$1,266.73	$1,744.47	$2,836.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,461.19 / $3,248.78 / $4,849.79	Professional		$2,461.19	$3,248.78	$4,849.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,796.08 / $9,796.08 / $9,796.08	Facility		$9,796.08	$9,796.08	$9,796.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,309.89 / $6,436.80 / $10,377.36	Professional		$2,309.89	$6,436.80	$10,377.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,638.60 / $6,638.60 / $6,638.60	Professional		$6,638.60	$6,638.60	$6,638.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,779.97 / $8,571.96 / $13,570.88	Professional		$4,779.97	$8,571.96	$13,570.88
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 $1,286.38 / $2,574.71 / $5,641.86	Professional		$1,286.38	$2,574.71	$5,641.86