Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.20 / $3,540.82 / $14,482.00	Facility		$1,902.20	$3,540.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,616.60 / $1,902.20 / $5,133.89	Professional		$1,616.60	$1,902.20	$5,133.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,689.28 / $3,901.96 / $10,055.27	Professional		$1,689.28	$3,901.96	$10,055.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,431.71 / $5,178.80 / $7,944.41	Facility		$4,431.71	$5,178.80	$7,944.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,981.83 / $4,657.24 / $7,076.18	Professional		$1,981.83	$4,657.24	$7,076.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,722.68 / $2,227.52 / $3,710.22	Facility		$1,722.68	$2,227.52	$3,710.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,712.34 / $2,585.09 / $5,185.95	Facility		$1,712.34	$2,585.09	$5,185.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,859.89 / $4,200.00 / $13,253.41	Professional		$1,859.89	$4,200.00	$13,253.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.23 / $1,215.01 / $3,724.01	Professional		$143.23	$1,215.01	$3,724.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,712.34 / $2,227.52 / $3,710.22	Facility		$1,712.34	$2,227.52	$3,710.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,271.20 / $4,362.68 / $7,158.63	Professional		$3,271.20	$4,362.68	$7,158.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,060.11 / $24,988.44 / $24,988.44	Facility		$2,060.11	$24,988.44	$24,988.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,054.85 / $8,471.70 / $13,253.41	Professional		$3,054.85	$8,471.70	$13,253.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,340.34 / $6,340.34 / $6,340.34	Professional		$6,340.34	$6,340.34	$6,340.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,515.93 / $8,640.07 / $8,640.07	Professional		$4,515.93	$8,640.07	$8,640.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,836.28 / $3,710.60 / $8,777.87	Professional		$1,836.28	$3,710.60	$8,777.87