Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.97 / $3,205.73 / $14,482.00	Facility		$1,535.97	$3,205.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.43 / $1,535.97 / $6,055.27	Professional		$1,328.43	$1,535.97	$6,055.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,542.42 / $3,544.55 / $9,517.96	Professional		$1,542.42	$3,544.55	$9,517.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,050.53 / $4,733.37 / $7,261.11	Facility		$4,050.53	$4,733.37	$7,261.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,167.90 / $6,215.63 / $7,063.21	Professional		$2,167.90	$6,215.63	$7,063.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,522.72 / $2,116.73 / $3,394.49	Facility		$1,522.72	$2,116.73	$3,394.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,522.72 / $3,153.41 / $13,120.00	Facility		$1,522.72	$3,153.41	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,682.39 / $3,175.19 / $13,677.74	Professional		$1,682.39	$3,175.19	$13,677.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $909.78 / $2,927.00	Professional		$126.60	$909.78	$2,927.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,522.72 / $2,116.73 / $3,394.49	Facility		$1,522.72	$2,116.73	$3,394.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,025.10 / $3,685.97 / $5,502.42	Professional		$3,025.10	$3,685.97	$5,502.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,476.40 / $14,476.40 / $14,476.40	Facility		$14,476.40	$14,476.40	$14,476.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,908.02 / $7,665.45 / $13,677.74	Professional		$2,908.02	$7,665.45	$13,677.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,105.18 / $5,105.18 / $5,105.18	Professional		$5,105.18	$5,105.18	$5,105.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,618.58 / $7,846.76 / $9,891.82	Professional		$4,618.58	$7,846.76	$9,891.82
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,588.35 / $2,795.40 / $6,845.55	Professional		$1,588.35	$2,795.40	$6,845.55