Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.92 / $2,522.63 / $14,482.00	Facility		$1,153.92	$2,522.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.64 / $1,153.92 / $4,303.03	Professional		$1,066.64	$1,153.92	$4,303.03
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 $1,191.94 / $3,075.10 / $6,695.66	Professional		$1,191.94	$3,075.10	$6,695.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,239.53 / $3,785.64 / $6,106.11	Facility		$3,239.53	$3,785.64	$6,106.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,670.54 / $3,563.74 / $5,122.52	Professional		$1,670.54	$3,563.74	$5,122.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,153.92 / $1,668.72 / $3,768.00	Facility		$1,153.92	$1,668.72	$3,768.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,233.29 / $5,266.00 / $15,126.00	Facility		$1,233.29	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,404.61 / $2,965.00 / $7,884.88	Professional		$1,404.61	$2,965.00	$7,884.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $772.59 / $2,535.60	Professional		$70.00	$772.59	$2,535.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,153.92 / $1,668.72 / $3,768.00	Facility		$1,153.92	$1,668.72	$3,768.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,408.25 / $3,718.71 / $4,380.42	Professional		$2,408.25	$3,718.71	$4,380.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,727.23 / $5,930.00 / $14,283.70	Professional		$1,727.23	$5,930.00	$14,283.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,431.29 / $3,431.29 / $3,431.29	Professional		$3,431.29	$3,431.29	$3,431.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,853.46 / $6,961.24 / $6,961.24	Professional		$3,853.46	$6,961.24	$6,961.24
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 $1,236.96 / $3,293.33 / $5,721.41	Professional		$1,236.96	$3,293.33	$5,721.41