Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.69 / $8,243.00 / $14,482.00	Facility		$1,205.69	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,205.69 / $1,918.93 / $2,931.51	Professional		$1,205.69	$1,918.93	$2,931.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,482.52 / $6,016.66 / $12,134.95	Professional		$2,482.52	$6,016.66	$12,134.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.06 / $1,650.10 / $2,661.55	Facility		$1,412.06	$1,650.10	$2,661.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.59 / $842.71 / $957.63	Professional		$612.59	$842.71	$957.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $543.54 / $1,205.69 / $1,826.31	Facility		$543.54	$1,205.69	$1,826.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $632.49 / $5,515.40 / $8,783.00	Facility		$632.49	$5,515.40	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,684.66 / $5,488.09 / $10,689.57	Professional		$2,684.66	$5,488.09	$10,689.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $9,231.42	Professional		$50.00	$58.40	$9,231.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $543.54 / $1,205.69 / $1,826.31	Facility		$543.54	$1,205.69	$1,826.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,207.88 / $4,052.07 / $5,833.58	Professional		$2,207.88	$4,052.07	$5,833.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,537.75 / $12,537.75 / $12,537.75	Facility		$12,537.75	$12,537.75	$12,537.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,231.71 / $12,195.75 / $14,636.88	Professional		$8,231.71	$12,195.75	$14,636.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $965.55 / $965.55 / $965.55	Professional		$965.55	$965.55	$965.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,286.83 / $2,286.83 / $2,286.83	Professional		$2,286.83	$2,286.83	$2,286.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,594.90 / $7,444.54 / $10,122.46	Professional		$2,594.90	$7,444.54	$10,122.46