Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,959.74 / $4,117.72 / $14,482.00	Facility		$1,959.74	$4,117.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.94 / $2,036.46 / $9,363.54	Professional		$1,889.94	$2,036.46	$9,363.54
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 $1,967.26 / $4,522.47 / $11,561.90	Professional		$1,967.26	$4,522.47	$11,561.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,175.13 / $6,047.55 / $9,277.10	Facility		$5,175.13	$6,047.55	$9,277.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,558.27 / $7,981.56 / $9,069.95	Professional		$2,558.27	$7,981.56	$9,069.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,260.00 / $2,292.90 / $4,205.14	Facility		$1,260.00	$2,292.90	$4,205.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,498.62 / $3,363.23 / $14,246.00	Facility		$1,498.62	$3,363.23	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,475.04 / $3,954.02 / $14,998.96	Professional		$1,475.04	$3,954.02	$14,998.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,218.51 / $3,826.22	Professional		$200.71	$1,218.51	$3,826.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,260.00 / $2,292.90 / $4,205.14	Facility		$1,260.00	$2,292.90	$4,205.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,029.35 / $4,909.60 / $7,329.08	Professional		$4,029.35	$4,909.60	$7,329.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,183.63 / $26,183.63 / $26,183.63	Facility		$26,183.63	$26,183.63	$26,183.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,734.23 / $9,794.50 / $14,998.96	Professional		$3,734.23	$9,794.50	$14,998.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,501.98 / $6,501.98 / $6,501.98	Professional		$6,501.98	$6,501.98	$6,501.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,966.51 / $10,030.02 / $12,702.20	Professional		$5,966.51	$10,030.02	$12,702.20
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 $1,659.42 / $3,800.27 / $8,913.00	Professional		$1,659.42	$3,800.27	$8,913.00