Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,901.34 / $3,076.97 / $14,482.00	Facility		$1,901.34	$3,076.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.61 / $1,901.34 / $5,546.51	Professional		$1,068.61	$1,901.34	$5,546.51
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 $1,510.24 / $3,405.39 / $8,934.54	Professional		$1,510.24	$3,405.39	$8,934.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,816.24 / $4,459.58 / $7,193.15	Facility		$3,816.24	$4,459.58	$7,193.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,598.32 / $4,640.28 / $6,605.15	Professional		$2,598.32	$4,640.28	$6,605.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,504.29 / $2,344.01 / $2,940.21	Facility		$1,504.29	$2,344.01	$2,940.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,748.70 / $2,940.00 / $7,700.00	Facility		$1,748.70	$2,940.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,873.90 / $4,969.80 / $8,898.90	Professional		$1,873.90	$4,969.80	$8,898.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,073.30 / $3,372.67	Professional		$112.28	$1,073.30	$3,372.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,504.29 / $2,344.01 / $2,940.21	Facility		$1,504.29	$2,344.01	$2,940.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,117.40 / $4,813.75 / $6,238.63	Professional		$3,117.40	$4,813.75	$6,238.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,280.32 / $29,280.32 / $29,280.32	Facility		$29,280.32	$29,280.32	$29,280.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,663.69 / $7,546.30 / $11,481.28	Professional		$2,663.69	$7,546.30	$11,481.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,831.00 / $7,831.00 / $7,831.00	Professional		$7,831.00	$7,831.00	$7,831.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,986.76 / $10,398.11 / $10,398.11	Professional		$6,986.76	$10,398.11	$10,398.11
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 $1,811.11 / $5,019.96 / $7,724.27	Professional		$1,811.11	$5,019.96	$7,724.27