Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,329.92 / $2,797.92 / $14,482.00	Facility		$1,329.92	$2,797.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,279.73 / $1,383.71 / $6,300.90	Professional		$1,279.73	$1,383.71	$6,300.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,320.08 / $3,069.04 / $8,211.62	Professional		$1,320.08	$3,069.04	$8,211.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,524.28 / $4,118.39 / $6,317.73	Facility		$3,524.28	$4,118.39	$6,317.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.37 / $5,422.82 / $6,162.30	Professional		$1,991.37	$5,422.82	$6,162.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,329.92 / $1,885.42 / $3,108.80	Facility		$1,329.92	$1,885.42	$3,108.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,329.92 / $2,745.03 / $14,246.00	Facility		$1,329.92	$2,745.03	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,472.19 / $2,674.01 / $10,168.40	Professional		$1,472.19	$2,674.01	$10,168.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $817.94 / $2,575.29	Professional		$126.60	$817.94	$2,575.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,329.92 / $1,885.42 / $3,108.80	Facility		$1,329.92	$1,885.42	$3,108.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,731.30 / $3,327.98 / $4,968.02	Professional		$2,731.30	$3,327.98	$4,968.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,830.56 / $25,830.56 / $25,830.56	Facility		$25,830.56	$25,830.56	$25,830.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,537.11 / $6,590.90 / $10,168.40	Professional		$2,537.11	$6,590.90	$10,168.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,404.49 / $4,404.49 / $4,404.49	Professional		$4,404.49	$4,404.49	$4,404.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,836.97 / $6,777.75 / $8,630.12	Professional		$3,836.97	$6,777.75	$8,630.12
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 $1,430.21 / $2,636.36 / $5,997.72	Professional		$1,430.21	$2,636.36	$5,997.72