Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.52 / $3,262.16 / $14,482.00	Facility		$1,568.52	$3,262.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,492.21 / $1,568.52 / $7,595.13	Professional		$1,492.21	$1,568.52	$7,595.13
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 $1,611.44 / $3,619.65 / $9,729.20	Professional		$1,611.44	$3,619.65	$9,729.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,138.84 / $4,836.57 / $7,419.42	Facility		$4,138.84	$4,836.57	$7,419.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,401.51 / $6,337.76 / $7,202.00	Professional		$2,401.51	$6,337.76	$7,202.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,551.63 / $2,195.92 / $3,624.63	Facility		$1,551.63	$2,195.92	$3,624.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,568.52 / $3,215.33 / $13,120.00	Facility		$1,568.52	$3,215.33	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,764.72 / $3,193.77 / $15,441.12	Professional		$1,764.72	$3,193.77	$15,441.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $923.04 / $2,938.33	Professional		$126.60	$923.04	$2,938.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,551.63 / $2,174.78 / $3,624.63	Facility		$1,551.63	$2,174.78	$3,624.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,077.10 / $3,749.33 / $5,597.01	Professional		$3,077.10	$3,749.33	$5,597.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,754.40 / $14,754.40 / $14,754.40	Facility		$14,754.40	$14,754.40	$14,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,965.16 / $7,944.70 / $15,441.12	Professional		$2,965.16	$7,944.70	$15,441.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,218.50 / $5,218.50 / $5,218.50	Professional		$5,218.50	$5,218.50	$5,218.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,861.35 / $8,131.36 / $10,086.16	Professional		$4,861.35	$8,131.36	$10,086.16
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 $1,754.97 / $3,334.07 / $7,549.74	Professional		$1,754.97	$3,334.07	$7,549.74