Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,102.19 / $3,550.21 / $14,482.00	Facility		$2,102.19	$3,550.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.05 / $2,102.19 / $3,550.21	Professional		$1,171.05	$2,102.19	$3,550.21
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 $1,643.35 / $4,490.29 / $10,120.45	Professional		$1,643.35	$4,490.29	$10,120.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,516.41 / $5,277.79 / $8,512.87	Facility		$4,516.41	$5,277.79	$8,512.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,351.02 / $5,304.23 / $7,197.01	Professional		$2,351.02	$5,304.23	$7,197.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,735.66 / $2,300.69 / $3,392.42	Facility		$1,735.66	$2,300.69	$3,392.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,917.11 / $7,590.00 / $15,702.00	Facility		$1,917.11	$7,590.00	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,877.27 / $5,259.63 / $9,383.99	Professional		$1,877.27	$5,259.63	$9,383.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.20 / $1,057.46 / $3,435.92	Professional		$152.20	$1,057.46	$3,435.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,735.66 / $2,300.69 / $3,392.42	Facility		$1,735.66	$2,300.69	$3,392.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,393.65 / $5,221.00 / $6,568.43	Professional		$3,393.65	$5,221.00	$6,568.43
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 $2,412.31 / $8,248.95 / $12,882.80	Professional		$2,412.31	$8,248.95	$12,882.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,213.20 / $4,213.20 / $4,213.20	Professional		$4,213.20	$4,213.20	$4,213.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,351.77 / $10,351.77 / $10,351.77	Professional		$10,351.77	$10,351.77	$10,351.77
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 $1,918.70 / $5,259.63 / $7,374.56	Professional		$1,918.70	$5,259.63	$7,374.56