Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.64 / $2,979.31 / $14,482.00	Facility		$1,600.64	$2,979.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,399.18 / $1,600.64 / $4,321.75	Professional		$1,399.18	$1,600.64	$4,321.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,428.74 / $3,283.36 / $8,458.96	Professional		$1,428.74	$3,283.36	$8,458.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.83 / $4,357.43 / $6,684.42	Facility		$3,728.83	$4,357.43	$6,684.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,693.35 / $4,979.31 / $5,954.41	Professional		$1,693.35	$4,979.31	$5,954.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,454.74 / $1,819.42 / $2,897.96	Facility		$1,454.74	$1,819.42	$2,897.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,456.55 / $2,056.42 / $13,721.00	Facility		$1,456.55	$2,056.42	$13,721.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,587.42 / $3,554.07 / $10,974.56	Professional		$1,587.42	$3,554.07	$10,974.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $1,032.24 / $3,170.93	Professional		$117.62	$1,032.24	$3,170.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,428.66 / $1,817.93 / $2,897.96	Facility		$1,428.66	$1,817.93	$2,897.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,753.40 / $3,672.12 / $6,023.79	Professional		$2,753.40	$3,672.12	$6,023.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,734.82 / $28,043.84 / $28,043.84	Facility		$1,734.82	$28,043.84	$28,043.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,572.67 / $7,138.00 / $10,974.56	Professional		$2,572.67	$7,138.00	$10,974.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,333.77 / $5,333.77 / $5,333.77	Professional		$5,333.77	$5,333.77	$5,333.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,813.25 / $7,270.37 / $7,270.37	Professional		$4,813.25	$7,270.37	$7,270.37
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,903.00	Facility		$8,627.00	$12,373.00	$15,903.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.03 / $3,039.82 / $6,467.03	Professional		$1,494.03	$3,039.82	$6,467.03