Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,842.32 / $2,975.94 / $14,482.00	Facility		$1,842.32	$2,975.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.82 / $1,842.32 / $5,210.21	Professional		$1,026.82	$1,842.32	$5,210.21
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 $1,459.19 / $3,585.77 / $8,911.37	Professional		$1,459.19	$3,585.77	$8,911.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,709.91 / $4,335.32 / $6,992.72	Facility		$3,709.91	$4,335.32	$6,992.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,513.02 / $4,480.67 / $5,972.83	Professional		$2,513.02	$4,480.67	$5,972.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,454.90 / $2,213.69 / $2,843.68	Facility		$1,454.90	$2,213.69	$2,843.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,669.75 / $2,803.00 / $7,700.00	Facility		$1,669.75	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,771.18 / $4,421.18 / $8,566.00	Professional		$1,771.18	$4,421.18	$8,566.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $1,043.63 / $3,276.06	Professional		$94.67	$1,043.63	$3,276.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,454.90 / $2,213.69 / $2,843.68	Facility		$1,454.90	$2,213.69	$2,843.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,971.80 / $4,588.92 / $6,024.05	Professional		$2,971.80	$4,588.92	$6,024.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,000.00 / $28,000.00 / $28,000.00	Facility		$28,000.00	$28,000.00	$28,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,572.06 / $7,264.00 / $11,005.04	Professional		$2,572.06	$7,264.00	$11,005.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,583.98 / $7,583.98 / $7,583.98	Professional		$7,583.98	$7,583.98	$7,583.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,757.37 / $10,040.41 / $10,040.41	Professional		$6,757.37	$10,040.41	$10,040.41
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 $1,753.39 / $4,746.70 / $7,148.10	Professional		$1,753.39	$4,746.70	$7,148.10