Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,532.57 / $3,221.10 / $14,482.00	Facility		$1,532.57	$3,221.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,477.69 / $1,592.79 / $7,316.17	Professional		$1,477.69	$1,592.79	$7,316.17
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 $1,528.06 / $3,536.69 / $9,039.87	Professional		$1,528.06	$3,536.69	$9,039.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,048.73 / $4,731.26 / $7,257.88	Facility		$4,048.73	$4,731.26	$7,257.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,309.62 / $6,242.61 / $7,093.88	Professional		$2,309.62	$6,242.61	$7,093.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,532.57 / $2,139.28 / $3,386.98	Facility		$1,532.57	$2,139.28	$3,386.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,532.57 / $2,835.00 / $16,976.00	Facility		$1,532.57	$2,835.00	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,755.80 / $3,076.47 / $11,728.96	Professional		$1,755.80	$3,076.47	$11,728.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.03 / $946.53 / $2,991.95	Professional		$190.03	$946.53	$2,991.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,532.57 / $2,130.48 / $3,386.98	Facility		$1,532.57	$2,130.48	$3,386.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,150.55 / $3,838.82 / $5,730.61	Professional		$3,150.55	$3,838.82	$5,730.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,030.85 / $13,030.85 / $13,030.85	Facility		$13,030.85	$13,030.85	$13,030.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,920.64 / $7,652.90 / $11,728.96	Professional		$2,920.64	$7,652.90	$11,728.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,083.68 / $5,083.68 / $5,083.68	Professional		$5,083.68	$5,083.68	$5,083.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,382.95 / $7,838.04 / $9,934.76	Professional		$4,382.95	$7,838.04	$9,934.76
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,734.73 / $2,969.33 / $6,964.14	Professional		$1,734.73	$2,969.33	$6,964.14