Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,572.71 / $3,306.89 / $14,482.00	Facility		$1,572.71	$3,306.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,515.09 / $1,635.14 / $7,484.72	Professional		$1,515.09	$1,635.14	$7,484.72
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 $1,572.44 / $3,629.33 / $9,265.20	Professional		$1,572.44	$3,629.33	$9,265.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,159.57 / $4,860.79 / $7,456.57	Facility		$4,159.57	$4,860.79	$7,456.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,350.50 / $6,408.51 / $7,282.40	Professional		$2,350.50	$6,408.51	$7,282.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,572.71 / $2,204.60 / $3,475.69	Facility		$1,572.71	$2,204.60	$3,475.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,572.71 / $3,150.00 / $16,976.00	Facility		$1,572.71	$3,150.00	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,788.73 / $3,187.07 / $12,029.60	Professional		$1,788.73	$3,187.07	$12,029.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.03 / $964.72 / $3,052.46	Professional		$190.03	$964.72	$3,052.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,572.71 / $2,201.79 / $3,475.69	Facility		$1,572.71	$2,201.79	$3,475.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,231.15 / $3,937.03 / $5,877.21	Professional		$3,231.15	$3,937.03	$5,877.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,366.43 / $13,366.43 / $13,366.43	Facility		$13,366.43	$13,366.43	$13,366.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,998.27 / $7,829.20 / $12,029.60	Professional		$2,998.27	$7,829.20	$12,029.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,210.39 / $5,210.39 / $5,210.39	Professional		$5,210.39	$5,210.39	$5,210.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,739.85 / $8,029.56 / $10,198.82	Professional		$4,739.85	$8,029.56	$10,198.82
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,720.39 / $3,131.68 / $7,124.57	Professional		$1,720.39	$3,131.68	$7,124.57