Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,667.70 / $3,516.07 / $14,482.00	Facility		$1,667.70	$3,516.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,639.71 / $1,817.81 / $7,830.88	Professional		$1,639.71	$1,817.81	$7,830.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,532.89 / $17,296.00	Facility		$5,169.00	$7,532.89	$17,296.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,646.24 / $3,848.54 / $10,510.85	Professional		$1,646.24	$3,848.54	$10,510.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,415.49 / $5,159.85 / $7,915.34	Facility		$4,415.49	$5,159.85	$7,915.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,490.73 / $7,069.59 / $8,062.04	Professional		$2,490.73	$7,069.59	$8,062.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,667.70 / $2,500.32 / $3,906.75	Facility		$1,667.70	$2,500.32	$3,906.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,667.70 / $3,433.87 / $14,246.00	Facility		$1,667.70	$3,433.87	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,923.35 / $3,458.49 / $18,574.00	Professional		$1,923.35	$3,458.49	$18,574.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.91 / $1,064.44 / $3,380.07	Professional		$193.91	$1,064.44	$3,380.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,667.70 / $2,479.25 / $3,906.75	Facility		$1,667.70	$2,479.25	$3,906.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,650.40 / $4,447.87 / $6,639.80	Professional		$3,650.40	$4,447.87	$6,639.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,305.92 / $23,305.92 / $23,305.92	Facility		$23,305.92	$23,305.92	$23,305.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,193.51 / $8,191.30 / $18,574.00	Professional		$3,193.51	$8,191.30	$18,574.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,518.30 / $5,518.30 / $5,518.30	Professional		$5,518.30	$5,518.30	$5,518.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,091.59 / $10,404.51 / $10,862.96	Professional		$5,091.59	$10,404.51	$10,862.96
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 $1,900.12 / $3,374.22 / $7,454.08	Professional		$1,900.12	$3,374.22	$7,454.08