Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,770.87 / $3,674.72 / $14,482.00	Facility		$1,770.87	$3,674.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,770.87 / $1,818.98 / $8,353.04	Professional		$1,770.87	$1,818.98	$8,353.04
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 $1,763.30 / $4,086.62 / $11,406.08	Professional		$1,763.30	$4,086.62	$11,406.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,664.20 / $5,450.48 / $8,361.18	Facility		$4,664.20	$5,450.48	$8,361.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,733.98 / $7,181.70 / $8,161.03	Professional		$2,733.98	$7,181.70	$8,161.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,770.87 / $2,575.39 / $4,257.34	Facility		$1,770.87	$2,575.39	$4,257.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,770.87 / $3,601.64 / $13,120.00	Facility		$1,770.87	$3,601.64	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,046.61 / $3,836.29 / $18,236.43	Professional		$2,046.61	$3,836.29	$18,236.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.95 / $1,063.00 / $3,392.59	Professional		$158.95	$1,063.00	$3,392.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,770.87 / $2,537.65 / $4,257.34	Facility		$1,770.87	$2,537.65	$4,257.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,522.35 / $4,291.85 / $6,406.88	Professional		$3,522.35	$4,291.85	$6,406.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,900.40 / $16,900.40 / $16,900.40	Facility		$16,900.40	$16,900.40	$16,900.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,359.99 / $8,737.50 / $18,236.43	Professional		$3,359.99	$8,737.50	$18,236.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,869.18 / $5,869.18 / $5,869.18	Professional		$5,869.18	$5,869.18	$5,869.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,559.88 / $9,164.67 / $11,429.24	Professional		$6,559.88	$9,164.67	$11,429.24
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 $1,983.26 / $3,608.36 / $7,951.13	Professional		$1,983.26	$3,608.36	$7,951.13