Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.86 / $3,186.43 / $14,482.00	Facility		$1,514.86	$3,186.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,454.28 / $1,575.63 / $7,013.80	Professional		$1,454.28	$1,575.63	$7,013.80
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 $1,514.04 / $3,227.62 / $8,924.37	Professional		$1,514.04	$3,227.62	$8,924.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,009.08 / $4,684.93 / $7,186.80	Facility		$4,009.08	$4,684.93	$7,186.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,265.26 / $6,174.72 / $7,016.73	Professional		$2,265.26	$6,174.72	$7,016.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,514.86 / $2,119.66 / $3,347.84	Facility		$1,514.86	$2,119.66	$3,347.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,514.86 / $2,730.00 / $14,246.00	Facility		$1,514.86	$2,730.00	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,658.09 / $3,067.48 / $15,183.90	Professional		$1,658.09	$3,067.48	$15,183.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $934.77 / $2,994.31	Professional		$126.60	$934.77	$2,994.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,514.86 / $2,034.33 / $3,347.84	Facility		$1,514.86	$2,034.33	$3,347.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,112.85 / $3,792.89 / $5,662.03	Professional		$3,112.85	$3,792.89	$5,662.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,875.10 / $12,875.10 / $12,875.10	Facility		$12,875.10	$12,875.10	$12,875.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,888.89 / $7,536.75 / $15,183.90	Professional		$2,888.89	$7,536.75	$15,183.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,018.74 / $5,018.74 / $5,018.74	Professional		$5,018.74	$5,018.74	$5,018.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,609.05 / $7,733.15 / $9,826.74	Professional		$4,609.05	$7,733.15	$9,826.74
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 $1,604.01 / $3,054.44 / $6,858.44	Professional		$1,604.01	$3,054.44	$6,858.44