Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,662.71 / $4,066.09 / $14,482.00	Facility		$1,662.71	$4,066.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,521.47 / $1,745.26 / $6,909.62	Professional		$1,521.47	$1,745.26	$6,909.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,444.00 / $20,227.00	Facility		$8,712.00	$12,444.00	$20,227.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,955.41 / $4,979.64 / $9,281.25	Professional		$1,955.41	$4,979.64	$9,281.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,114.76 / $5,977.00 / $9,640.69	Facility		$5,114.76	$5,977.00	$9,640.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,614.29 / $5,045.16 / $8,203.46	Professional		$3,614.29	$5,045.16	$8,203.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,662.71 / $2,541.59 / $4,515.00	Facility		$1,662.71	$2,541.59	$4,515.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,945.37 / $4,989.30 / $14,978.00	Facility		$1,945.37	$4,989.30	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,328.55 / $5,306.20 / $9,527.73	Professional		$2,328.55	$5,306.20	$9,527.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.73 / $1,211.01 / $3,891.09	Professional		$187.73	$1,211.01	$3,891.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,662.71 / $2,541.59 / $4,515.00	Facility		$1,662.71	$2,541.59	$4,515.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,946.80 / $5,612.87 / $7,178.93	Professional		$3,946.80	$5,612.87	$7,178.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,021.64 / $14,021.64 / $14,021.64	Facility		$14,021.64	$14,021.64	$14,021.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,796.29 / $9,768.79 / $25,823.26	Professional		$3,796.29	$9,768.79	$25,823.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,672.38 / $3,672.38 / $3,672.38	Professional		$3,672.38	$3,672.38	$3,672.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,690.53 / $8,389.54 / $8,389.54	Professional		$3,690.53	$8,389.54	$8,389.54
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 $2,237.62 / $4,773.85 / $8,210.68	Professional		$2,237.62	$4,773.85	$8,210.68