Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.07 / $2,497.71 / $14,482.00	Facility		$1,542.07	$2,497.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.45 / $1,542.07 / $4,511.06	Professional		$1,012.45	$1,542.07	$4,511.06
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 $1,225.19 / $2,991.28 / $7,808.61	Professional		$1,225.19	$2,991.28	$7,808.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,098.95 / $3,621.37 / $5,841.14	Facility		$3,098.95	$3,621.37	$5,841.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,109.19 / $3,765.84 / $5,395.68	Professional		$2,109.19	$3,765.84	$5,395.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,221.10 / $1,941.68 / $2,590.50	Facility		$1,221.10	$1,941.68	$2,590.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,418.38 / $2,678.00 / $7,700.00	Facility		$1,418.38	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,517.28 / $4,044.99 / $7,205.39	Professional		$1,517.28	$4,044.99	$7,205.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $1,048.67 / $2,765.39	Professional		$105.27	$1,048.67	$2,765.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,221.10 / $1,941.68 / $2,590.50	Facility		$1,221.10	$1,941.68	$2,590.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,528.50 / $3,904.39 / $5,062.99	Professional		$2,528.50	$3,904.39	$5,062.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,748.80 / $23,748.80 / $23,748.80	Facility		$23,748.80	$23,748.80	$23,748.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,161.73 / $6,185.86 / $10,574.00	Professional		$2,161.73	$6,185.86	$10,574.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,350.67 / $6,350.67 / $6,350.67	Professional		$6,350.67	$6,350.67	$6,350.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,270.14 / $8,438.62 / $8,438.62	Professional		$6,270.14	$8,438.62	$8,438.62
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 $1,483.19 / $4,044.99 / $6,254.30	Professional		$1,483.19	$4,044.99	$6,254.30