Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,105.82 / $3,934.89 / $14,482.00	Facility		$2,105.82	$3,934.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,764.92 / $2,105.82 / $5,612.52	Professional		$1,764.92	$2,105.82	$5,612.52
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 $1,851.56 / $4,319.63 / $11,113.87	Professional		$1,851.56	$4,319.63	$11,113.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,937.24 / $5,769.55 / $8,850.64	Facility		$4,937.24	$5,769.55	$8,850.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,128.15 / $6,538.37 / $7,846.58	Professional		$2,128.15	$6,538.37	$7,846.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,808.66 / $2,222.88 / $3,846.14	Facility		$1,808.66	$2,222.88	$3,846.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,836.66 / $2,463.81 / $5,246.52	Facility		$1,836.66	$2,463.81	$5,246.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,928.76 / $4,392.46 / $14,396.16	Professional		$1,928.76	$4,392.46	$14,396.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $1,769.41 / $4,338.05	Professional		$174.72	$1,769.41	$4,338.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,789.95 / $2,222.88 / $3,846.14	Facility		$1,789.95	$2,222.88	$3,846.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,613.20 / $4,818.80 / $7,938.00	Professional		$3,613.20	$4,818.80	$7,938.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,256.13 / $18,396.56 / $18,396.56	Facility		$2,256.13	$18,396.56	$18,396.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,238.31 / $9,280.10 / $14,396.16	Professional		$3,238.31	$9,280.10	$14,396.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,007.81 / $7,007.81 / $7,007.81	Professional		$7,007.81	$7,007.81	$7,007.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,338.56 / $9,580.71 / $9,580.71	Professional		$6,338.56	$9,580.71	$9,580.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $7,565.00 / $19,003.00	Facility		$2,480.00	$7,565.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,886.18 / $4,083.24 / $8,375.29	Professional		$1,886.18	$4,083.24	$8,375.29