Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,611.94 / $3,407.96 / $14,482.00	Facility		$1,611.94	$3,407.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,573.54 / $1,757.11 / $7,509.67	Professional		$1,573.54	$1,757.11	$7,509.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,678.00 / $17,296.00	Facility		$5,169.00	$8,678.00	$17,296.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,573.77 / $3,223.88 / $9,925.10	Professional		$1,573.77	$3,223.88	$9,925.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,288.43 / $5,011.37 / $7,687.57	Facility		$4,288.43	$5,011.37	$7,687.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,421.12 / $6,870.13 / $7,806.96	Professional		$2,421.12	$6,870.13	$7,806.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,611.94 / $2,203.28 / $3,786.63	Facility		$1,611.94	$2,203.28	$3,786.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,650.33 / $3,337.81 / $14,246.00	Facility		$1,650.33	$3,337.81	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,652.87 / $3,157.83 / $14,422.40	Professional		$1,652.87	$3,157.83	$14,422.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.36 / $1,054.01 / $3,324.10	Professional		$168.36	$1,054.01	$3,324.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,611.94 / $2,156.53 / $3,786.63	Facility		$1,611.94	$2,156.53	$3,786.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,516.50 / $4,284.72 / $6,396.24	Professional		$3,516.50	$4,284.72	$6,396.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,690.72 / $32,690.72 / $32,690.72	Facility		$32,690.72	$32,690.72	$32,690.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,092.48 / $7,855.30 / $14,422.40	Professional		$3,092.48	$7,855.30	$14,422.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,323.58 / $5,323.58 / $5,323.58	Professional		$5,323.58	$5,323.58	$5,323.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,405.41 / $8,495.37 / $10,519.24	Professional		$4,405.41	$8,495.37	$10,519.24
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,652.87 / $3,047.86 / $7,015.10	Professional		$1,652.87	$3,047.86	$7,015.10