Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.45 / $2,237.54 / $14,482.00	Facility		$1,073.45	$2,237.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.45 / $1,101.61 / $5,664.95	Professional		$1,073.45	$1,101.61	$5,664.95
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 $1,042.65 / $2,477.19 / $6,906.43	Professional		$1,042.65	$2,477.19	$6,906.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,835.82 / $3,313.89 / $5,083.59	Facility		$2,835.82	$3,313.89	$5,083.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,665.31 / $4,364.89 / $4,960.10	Professional		$1,665.31	$4,364.89	$4,960.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,073.45 / $1,590.83 / $2,419.37	Facility		$1,073.45	$1,590.83	$2,419.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,073.45 / $2,173.96 / $13,120.00	Facility		$1,073.45	$2,173.96	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,241.21 / $2,288.62 / $10,299.59	Professional		$1,241.21	$2,288.62	$10,299.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $666.24 / $2,102.72	Professional		$95.64	$666.24	$2,102.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,073.45 / $1,516.18 / $2,419.37	Facility		$1,073.45	$1,516.18	$2,419.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,143.69 / $2,612.02 / $3,899.23	Professional		$2,143.69	$2,612.02	$3,899.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,271.36 / $10,271.36 / $10,271.36	Facility		$10,271.36	$10,271.36	$10,271.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,042.15 / $5,212.55 / $10,299.59	Professional		$2,042.15	$5,212.55	$10,299.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.59 / $3,548.59 / $3,548.59	Professional		$3,548.59	$3,548.59	$3,548.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,334.42 / $5,828.29 / $6,946.50	Professional		$3,334.42	$5,828.29	$6,946.50
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 $1,241.21 / $2,283.10 / $5,116.38	Professional		$1,241.21	$2,283.10	$5,116.38