Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,673.71 / $3,507.46 / $14,482.00	Facility		$1,673.71	$3,507.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.77 / $1,725.99 / $7,999.52	Professional		$1,607.77	$1,725.99	$7,999.52
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 $1,672.59 / $3,862.40 / $10,346.42	Professional		$1,672.59	$3,862.40	$10,346.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,414.59 / $5,158.79 / $7,913.72	Facility		$4,414.59	$5,158.79	$7,913.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,496.28 / $6,791.10 / $7,717.16	Professional		$2,496.28	$6,791.10	$7,717.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,673.71 / $2,400.71 / $3,698.90	Facility		$1,673.71	$2,400.71	$3,698.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,673.71 / $3,036.00 / $13,120.00	Facility		$1,673.71	$3,036.00	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,856.92 / $3,363.88 / $12,714.80	Professional		$1,856.92	$3,363.88	$12,714.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.95 / $1,021.23 / $3,257.05	Professional		$158.95	$1,021.23	$3,257.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,673.71 / $2,343.19 / $3,698.90	Facility		$1,673.71	$2,343.19	$3,698.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,401.45 / $4,144.54 / $6,186.98	Professional		$3,401.45	$4,144.54	$6,186.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,103.52 / $16,103.52 / $16,103.52	Facility		$16,103.52	$16,103.52	$16,103.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,177.25 / $8,367.70 / $12,714.80	Professional		$3,177.25	$8,367.70	$12,714.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,549.55 / $5,549.55 / $5,549.55	Professional		$5,549.55	$5,549.55	$5,549.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,126.42 / $8,539.77 / $10,807.63	Professional		$3,126.42	$8,539.77	$10,807.63
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 $1,822.84 / $3,246.67 / $7,472.69	Professional		$1,822.84	$3,246.67	$7,472.69