Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.36 / $2,951.89 / $14,482.00	Facility		$1,402.36	$2,951.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,349.87 / $1,500.00 / $7,267.22	Professional		$1,349.87	$1,500.00	$7,267.22
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 $1,393.47 / $3,236.22 / $8,261.17	Professional		$1,393.47	$3,236.22	$8,261.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,716.22 / $4,342.70 / $6,661.81	Facility		$3,716.22	$4,342.70	$6,661.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,099.31 / $5,720.74 / $6,500.84	Professional		$2,099.31	$5,720.74	$6,500.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,402.36 / $2,015.62 / $3,099.22	Facility		$1,402.36	$2,015.62	$3,099.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,402.36 / $2,730.00 / $14,246.00	Facility		$1,402.36	$2,730.00	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,600.72 / $2,834.05 / $13,557.05	Professional		$1,600.72	$2,834.05	$13,557.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $872.18 / $2,775.48	Professional		$126.60	$872.18	$2,775.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,402.36 / $2,015.62 / $3,099.22	Facility		$1,402.36	$2,015.62	$3,099.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,882.10 / $3,511.73 / $5,242.32	Professional		$2,882.10	$3,511.73	$5,242.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,925.34 / $11,925.34 / $11,925.34	Facility		$11,925.34	$11,925.34	$11,925.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,676.48 / $6,968.35 / $13,557.05	Professional		$2,676.48	$6,968.35	$13,557.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,645.76 / $4,645.76 / $4,645.76	Professional		$4,645.76	$4,645.76	$4,645.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,237.34 / $7,153.02 / $9,104.21	Professional		$4,237.34	$7,153.02	$9,104.21
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 $1,550.23 / $2,808.10 / $6,341.20	Professional		$1,550.23	$2,808.10	$6,341.20