Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.76 / $3,057.71 / $14,482.00	Facility		$1,394.76	$3,057.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,311.50 / $1,394.76 / $5,302.63	Professional		$1,311.50	$1,394.76	$5,302.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $10,038.00	Facility		$2,740.00	$4,780.00	$10,038.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,467.26 / $3,874.85 / $8,479.21	Professional		$1,467.26	$3,874.85	$8,479.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,903.65 / $4,561.72 / $7,357.90	Facility		$3,903.65	$4,561.72	$7,357.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,024.88 / $4,310.57 / $6,184.82	Professional		$2,024.88	$4,310.57	$6,184.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,394.76 / $2,042.88 / $3,297.00	Facility		$1,394.76	$2,042.88	$3,297.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,494.88 / $5,266.00 / $14,978.00	Facility		$1,494.88	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,725.32 / $3,631.73 / $9,657.92	Professional		$1,725.32	$3,631.73	$9,657.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $953.51 / $3,045.66	Professional		$96.23	$953.51	$3,045.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,394.76 / $2,042.88 / $3,297.00	Facility		$1,394.76	$2,042.88	$3,297.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,926.95 / $4,519.66 / $5,323.90	Professional		$2,926.95	$4,519.66	$5,323.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,568.16 / $10,568.16 / $10,568.16	Facility		$10,568.16	$10,568.16	$10,568.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.19 / $7,263.45 / $12,853.85	Professional		$2,089.19	$7,263.45	$12,853.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,147.22 / $4,147.22 / $4,147.22	Professional		$4,147.22	$4,147.22	$4,147.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,705.87 / $8,420.11 / $8,420.11	Professional		$4,705.87	$8,420.11	$8,420.11
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,725.32 / $4,054.04 / $7,007.31	Professional		$1,725.32	$4,054.04	$7,007.31