Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.83 / $2,706.57 / $14,482.00	Facility		$1,671.83	$2,706.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.55 / $1,671.83 / $5,569.03	Professional		$1,093.55	$1,671.83	$5,569.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,196.00 / $17,436.00	Facility		$6,538.00	$10,196.00	$17,436.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,324.41 / $3,243.89 / $8,468.04	Professional		$1,324.41	$3,243.89	$8,468.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,357.57 / $3,923.59 / $6,328.61	Facility		$3,357.57	$3,923.59	$6,328.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,285.55 / $4,081.67 / $5,969.26	Professional		$2,285.55	$4,081.67	$5,969.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,323.21 / $1,854.17 / $2,586.28	Facility		$1,323.21	$1,854.17	$2,586.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,537.62 / $2,678.00 / $7,700.00	Facility		$1,537.62	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,646.39 / $4,423.93 / $7,818.48	Professional		$1,646.39	$4,423.93	$7,818.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $1,166.15 / $3,092.03	Professional		$117.89	$1,166.15	$3,092.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,323.21 / $1,854.17 / $2,586.28	Facility		$1,323.21	$1,854.17	$2,586.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,741.05 / $4,232.60 / $5,487.61	Professional		$2,741.05	$4,232.60	$5,487.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,751.36 / $25,751.36 / $25,751.36	Facility		$25,751.36	$25,751.36	$25,751.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,343.02 / $6,630.10 / $10,096.79	Professional		$2,343.02	$6,630.10	$10,096.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,887.68 / $6,887.68 / $6,887.68	Professional		$6,887.68	$6,887.68	$6,887.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,781.41 / $9,146.32 / $9,146.32	Professional		$6,781.41	$9,146.32	$9,146.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,609.94 / $4,409.96 / $6,534.75	Professional		$1,609.94	$4,409.96	$6,534.75