Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.74 / $3,393.54 / $14,482.00	Facility		$1,828.74	$3,393.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,576.48 / $1,828.74 / $3,393.54	Professional		$1,576.48	$1,828.74	$3,393.54
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 $1,619.94 / $3,751.26 / $9,681.73	Professional		$1,619.94	$3,751.26	$9,681.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,257.79 / $4,975.57 / $7,632.65	Facility		$4,257.79	$4,975.57	$7,632.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,952.04 / $5,675.96 / $6,792.99	Professional		$1,952.04	$5,675.96	$6,792.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,659.06 / $2,139.63 / $3,592.00	Facility		$1,659.06	$2,139.63	$3,592.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.06 / $2,318.89 / $5,733.00	Facility		$1,659.06	$2,318.89	$5,733.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,816.47 / $4,047.73 / $12,510.56	Professional		$1,816.47	$4,047.73	$12,510.56
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 $1,659.06 / $2,139.63 / $3,592.00	Facility		$1,659.06	$2,139.63	$3,592.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,133.20 / $4,178.64 / $6,872.14	Professional		$3,133.20	$4,178.64	$6,872.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,974.88 / $15,986.08 / $15,986.08	Facility		$1,974.88	$15,986.08	$15,986.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,923.06 / $8,161.35 / $12,510.56	Professional		$2,923.06	$8,161.35	$12,510.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,104.78 / $6,104.78 / $6,104.78	Professional		$6,104.78	$6,104.78	$6,104.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,482.45 / $8,294.23 / $8,294.23	Professional		$5,482.45	$8,294.23	$8,294.23
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 $1,795.50 / $3,574.67 / $8,831.89	Professional		$1,795.50	$3,574.67	$8,831.89