Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,049.17 / $3,440.11 / $14,482.00	Facility		$2,049.17	$3,440.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,322.53 / $2,049.17 / $3,440.11	Professional		$1,322.53	$2,049.17	$3,440.11
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 $1,599.58 / $4,412.66 / $9,891.31	Professional		$1,599.58	$4,412.66	$9,891.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,410.97 / $5,154.58 / $8,314.16	Facility		$4,410.97	$5,154.58	$8,314.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,278.12 / $5,161.92 / $6,999.44	Professional		$2,278.12	$5,161.92	$6,999.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,681.83 / $2,239.41 / $3,287.22	Facility		$1,681.83	$2,239.41	$3,287.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,852.68 / $7,590.00 / $15,702.00	Facility		$1,852.68	$7,590.00	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,839.53 / $5,132.37 / $9,214.69	Professional		$1,839.53	$5,132.37	$9,214.69
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 $1,681.83 / $2,239.41 / $3,287.22	Facility		$1,681.83	$2,239.41	$3,287.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,280.55 / $5,047.00 / $6,449.93	Professional		$3,280.55	$5,047.00	$6,449.93
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 $2,347.59 / $8,059.40 / $12,499.76	Professional		$2,347.59	$8,059.40	$12,499.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,117.81 / $4,117.81 / $4,117.81	Professional		$4,117.81	$4,117.81	$4,117.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,074.03 / $10,074.03 / $10,074.03	Professional		$10,074.03	$10,074.03	$10,074.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.97 / $5,449.39 / $7,351.69	Professional		$1,905.97	$5,449.39	$7,351.69