Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.34 / $3,273.75 / $14,482.00	Facility		$1,557.34	$3,273.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.24 / $1,618.98 / $7,384.14	Professional		$1,499.24	$1,618.98	$7,384.14
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 $1,547.34 / $3,593.87 / $9,624.65	Professional		$1,547.34	$3,593.87	$9,624.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,122.62 / $4,817.60 / $7,390.34	Facility		$4,122.62	$4,817.60	$7,390.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,328.31 / $6,346.87 / $7,212.35	Professional		$2,328.31	$6,346.87	$7,212.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,557.34 / $2,233.83 / $3,441.72	Facility		$1,557.34	$2,233.83	$3,441.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,557.34 / $3,210.14 / $16,976.00	Facility		$1,557.34	$3,210.14	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,728.24 / $3,131.59 / $14,468.63	Professional		$1,728.24	$3,131.59	$14,468.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.36 / $953.48 / $3,034.20	Professional		$168.36	$953.48	$3,034.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,557.34 / $2,233.83 / $3,441.72	Facility		$1,557.34	$2,233.83	$3,441.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,197.35 / $3,895.85 / $5,815.73	Professional		$3,197.35	$3,895.85	$5,815.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,243.04 / $30,243.04 / $30,243.04	Facility		$30,243.04	$30,243.04	$30,243.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,969.42 / $7,724.00 / $14,468.63	Professional		$2,969.42	$7,724.00	$14,468.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,162.41 / $5,162.41 / $5,162.41	Professional		$5,162.41	$5,162.41	$5,162.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,650.14 / $7,945.04 / $10,100.68	Professional		$4,650.14	$7,945.04	$10,100.68
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 $1,695.85 / $3,131.59 / $7,028.84	Professional		$1,695.85	$3,131.59	$7,028.84