Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.10 / $3,431.27 / $14,482.00	Facility		$1,640.10	$3,431.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,574.97 / $1,688.24 / $7,832.17	Professional		$1,574.97	$1,688.24	$7,832.17
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 $1,635.84 / $3,280.20 / $10,146.08	Professional		$1,635.84	$3,280.20	$10,146.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,323.57 / $5,052.43 / $7,750.57	Facility		$4,323.57	$5,052.43	$7,750.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,442.30 / $6,650.77 / $7,557.69	Professional		$2,442.30	$6,650.77	$7,557.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,640.10 / $2,339.83 / $3,812.53	Facility		$1,640.10	$2,339.83	$3,812.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,640.10 / $3,367.65 / $13,120.00	Facility		$1,640.10	$3,367.65	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,784.27 / $3,293.45 / $17,970.61	Professional		$1,784.27	$3,293.45	$17,970.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.95 / $1,000.26 / $3,243.68	Professional		$158.95	$1,000.26	$3,243.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,640.10 / $2,339.83 / $3,812.53	Facility		$1,640.10	$2,339.83	$3,812.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,326.05 / $4,052.66 / $6,049.83	Professional		$3,326.05	$4,052.66	$6,049.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,766.96 / $15,766.96 / $15,766.96	Facility		$15,766.96	$15,766.96	$15,766.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,111.61 / $8,192.65 / $17,970.61	Professional		$3,111.61	$8,192.65	$17,970.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,442.10 / $5,442.10 / $5,442.10	Professional		$5,442.10	$5,442.10	$5,442.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,078.32 / $8,362.15 / $10,584.32	Professional		$5,078.32	$8,362.15	$10,584.32
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 $1,784.27 / $3,178.75 / $7,455.31	Professional		$1,784.27	$3,178.75	$7,455.31