Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.33 / $3,419.30 / $14,482.00	Facility		$1,837.33	$3,419.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,561.88 / $1,837.33 / $4,955.17	Professional		$1,561.88	$1,837.33	$4,955.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,626.49 / $3,768.89 / $9,712.11	Professional		$1,626.49	$3,768.89	$9,712.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,283.02 / $5,005.05 / $7,677.88	Facility		$4,283.02	$5,005.05	$7,677.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,913.39 / $5,717.78 / $6,835.96	Professional		$1,913.39	$5,717.78	$6,835.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,668.78 / $2,170.00 / $3,606.00	Facility		$1,668.78	$2,170.00	$3,606.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,668.78 / $2,433.50 / $5,725.28	Facility		$1,668.78	$2,433.50	$5,725.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,798.74 / $4,021.00 / $12,593.28	Professional		$1,798.74	$4,021.00	$12,593.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.23 / $1,173.24 / $3,586.17	Professional		$143.23	$1,173.24	$3,586.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,649.53 / $2,170.00 / $3,606.00	Facility		$1,649.53	$2,170.00	$3,606.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,157.20 / $4,210.64 / $6,915.61	Professional		$3,157.20	$4,210.64	$6,915.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,988.99 / $16,091.60 / $16,091.60	Facility		$1,988.99	$16,091.60	$16,091.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,946.02 / $8,176.10 / $12,593.28	Professional		$2,946.02	$8,176.10	$12,593.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,123.95 / $6,123.95 / $6,123.95	Professional		$6,123.95	$6,123.95	$6,123.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,524.07 / $8,346.76 / $8,346.76	Professional		$5,524.07	$8,346.76	$8,346.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,798.74 / $3,252.78 / $7,751.66	Professional		$1,798.74	$3,252.78	$7,751.66