Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,121.44 / $3,550.97 / $14,482.00	Facility		$2,121.44	$3,550.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.83 / $2,121.44 / $6,018.83	Professional		$1,373.83	$2,121.44	$6,018.83
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 $1,695.91 / $4,710.75 / $10,251.86	Professional		$1,695.91	$4,710.75	$10,251.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,599.32 / $5,374.67 / $8,669.14	Facility		$4,599.32	$5,374.67	$8,669.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,351.54 / $5,337.78 / $7,282.91	Professional		$2,351.54	$5,337.78	$7,282.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,736.03 / $2,374.27 / $3,393.15	Facility		$1,736.03	$2,374.27	$3,393.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,893.85 / $5,266.00 / $15,126.00	Facility		$1,893.85	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,921.97 / $5,035.64 / $11,802.31	Professional		$1,921.97	$5,035.64	$11,802.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.92 / $1,050.29 / $3,441.96	Professional		$133.92	$1,050.29	$3,441.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,736.03 / $2,374.27 / $3,393.15	Facility		$1,736.03	$2,374.27	$3,393.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,370.25 / $5,204.18 / $6,906.71	Professional		$3,370.25	$5,204.18	$6,906.71
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 $2,427.56 / $8,315.70 / $12,841.28	Professional		$2,427.56	$8,315.70	$12,841.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,267.92 / $4,267.92 / $4,267.92	Professional		$4,267.92	$4,267.92	$4,267.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,027.59 / $10,417.16 / $10,417.16	Professional		$4,027.59	$10,417.16	$10,417.16
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 $1,825.87 / $4,792.64 / $7,434.24	Professional		$1,825.87	$4,792.64	$7,434.24