Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,047.94 / $3,438.72 / $14,482.00	Facility		$2,047.94	$3,438.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,250.52 / $2,047.94 / $3,438.72	Professional		$1,250.52	$2,047.94	$3,438.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,529.35 / $4,410.85 / $9,885.31	Professional		$1,529.35	$4,410.85	$9,885.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,409.18 / $5,152.47 / $8,310.76	Facility		$4,409.18	$5,152.47	$8,310.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,277.19 / $5,159.85 / $6,996.58	Professional		$2,277.19	$5,159.85	$6,996.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,681.15 / $2,141.09 / $3,285.89	Facility		$1,681.15	$2,141.09	$3,285.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,851.95 / $7,590.00 / $15,702.00	Facility		$1,851.95	$7,590.00	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,770.90 / $4,881.77 / $8,851.09	Professional		$1,770.90	$4,881.77	$8,851.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.81 / $1,007.81 / $3,280.49	Professional		$141.81	$1,007.81	$3,280.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,681.15 / $2,141.09 / $3,285.89	Facility		$1,681.15	$2,141.09	$3,285.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,279.25 / $5,045.00 / $6,195.43	Professional		$3,279.25	$5,045.00	$6,195.43
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 $2,346.64 / $8,057.70 / $12,494.88	Professional		$2,346.64	$8,057.70	$12,494.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,115.31 / $4,115.31 / $4,115.31	Professional		$4,115.31	$4,115.31	$4,115.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,069.93 / $10,069.93 / $10,069.93	Professional		$10,069.93	$10,069.93	$10,069.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,687.66 / $11,608.00 / $13,980.00	Facility		$4,687.66	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,609.52 / $4,644.47 / $7,350.14	Professional		$1,609.52	$4,644.47	$7,350.14