Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.10 / $3,235.09 / $14,482.00	Facility		$1,924.10	$3,235.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.40 / $1,924.10 / $4,871.79	Professional		$1,085.40	$1,924.10	$4,871.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.94 / $4,187.38 / $9,310.32	Professional		$1,513.94	$4,187.38	$9,310.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,135.24 / $4,832.35 / $7,794.42	Facility		$4,135.24	$4,832.35	$7,794.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,142.35 / $4,839.35 / $6,581.39	Professional		$2,142.35	$4,839.35	$6,581.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,581.60 / $2,251.19 / $3,129.80	Facility		$1,581.60	$2,251.19	$3,129.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,725.38 / $5,266.00 / $15,126.00	Facility		$1,725.38	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,720.12 / $4,621.99 / $10,856.29	Professional		$1,720.12	$4,621.99	$10,856.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.38 / $977.67 / $3,152.92	Professional		$125.38	$977.67	$3,152.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,581.60 / $2,251.19 / $3,129.80	Facility		$1,581.60	$2,251.19	$3,129.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,118.05 / $4,797.00 / $6,077.37	Professional		$3,118.05	$4,797.00	$6,077.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,200.90 / $7,649.15 / $11,748.16	Professional		$2,200.90	$7,649.15	$11,748.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,875.94 / $3,875.94 / $3,875.94	Professional		$3,875.94	$3,875.94	$3,875.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,384.03 / $9,444.50 / $9,444.50	Professional		$3,384.03	$9,444.50	$9,444.50
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,657.60 / $4,597.68 / $6,838.34	Professional		$1,657.60	$4,597.68	$6,838.34