Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.01 / $2,965.57 / $14,482.00	Facility		$1,462.01	$2,965.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.34 / $1,493.46 / $4,845.63	Professional		$1,370.34	$1,493.46	$4,845.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,430.39 / $3,704.43 / $9,885.57	Professional		$1,430.39	$3,704.43	$9,885.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,717.12 / $4,343.75 / $7,006.31	Facility		$3,717.12	$4,343.75	$7,006.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,963.87 / $4,505.71 / $5,947.16	Professional		$1,963.87	$4,505.71	$5,947.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,449.83 / $1,919.88 / $2,833.76	Facility		$1,449.83	$1,919.88	$2,833.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,462.01 / $2,803.00 / $7,700.00	Facility		$1,462.01	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,692.31 / $3,909.40 / $9,796.93	Professional		$1,692.31	$3,909.40	$9,796.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,212.24 / $3,089.41	Professional		$85.00	$1,212.24	$3,089.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,462.01 / $1,919.88 / $2,833.76	Facility		$1,462.01	$1,919.88	$2,833.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,827.50 / $4,366.10 / $5,900.33	Professional		$2,827.50	$4,366.10	$5,900.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,513.44 / $13,513.44 / $13,513.44	Facility		$13,513.44	$13,513.44	$13,513.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,007.89 / $7,108.00 / $10,796.64	Professional		$2,007.89	$7,108.00	$10,796.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,405.36 / $7,405.36 / $7,405.36	Professional		$7,405.36	$7,405.36	$7,405.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,919.41 / $8,519.83 / $8,519.83	Professional		$6,919.41	$8,519.83	$8,519.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $4,316.80 / $19,003.00	Facility		$1,998.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,684.43 / $4,172.35 / $6,968.63	Professional		$1,684.43	$4,172.35	$6,968.63