Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.56 / $3,307.54 / $14,482.00	Facility		$1,584.56	$3,307.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.56 / $1,714.35 / $7,893.17	Professional		$1,584.56	$1,714.35	$7,893.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,916.00 / $21,224.00	Facility		$8,712.00	$12,916.00	$21,224.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,651.45 / $3,656.67 / $10,245.04	Professional		$1,651.45	$3,656.67	$10,245.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,183.00 / $4,888.17 / $7,498.57	Facility		$4,183.00	$4,888.17	$7,498.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,500.21 / $6,450.66 / $7,330.30	Professional		$2,500.21	$6,450.66	$7,330.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,584.56 / $2,200.55 / $3,501.88	Facility		$1,584.56	$2,200.55	$3,501.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.56 / $3,237.43 / $15,090.00	Facility		$1,584.56	$3,237.43	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,969.96 / $3,350.68 / $12,150.24	Professional		$1,969.96	$3,350.68	$12,150.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.73 / $973.69 / $3,138.24	Professional		$187.73	$973.69	$3,138.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,584.56 / $2,135.78 / $3,501.88	Facility		$1,584.56	$2,135.78	$3,501.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,720.52 / $3,973.97 / $5,721.15	Professional		$2,720.52	$3,973.97	$5,721.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,198.81 / $25,198.81 / $25,198.81	Facility		$25,198.81	$25,198.81	$25,198.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,927.44 / $8,256.45 / $12,150.24	Professional		$2,927.44	$8,256.45	$12,150.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,314.62 / $5,314.62 / $5,314.62	Professional		$5,314.62	$5,314.62	$5,314.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,262.31 / $10,265.83 / $10,265.83	Professional		$6,262.31	$10,265.83	$10,265.83
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,921.98 / $3,350.68 / $7,513.37	Professional		$1,921.98	$3,350.68	$7,513.37