Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,470.31 / $2,981.09 / $14,482.00	Facility		$1,470.31	$2,981.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,378.86 / $1,504.16 / $4,875.53	Professional		$1,378.86	$1,504.16	$4,875.53
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 $1,438.05 / $3,725.46 / $9,945.28	Professional		$1,438.05	$3,725.46	$9,945.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,739.65 / $4,370.07 / $7,048.78	Facility		$3,739.65	$4,370.07	$7,048.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,974.15 / $4,529.82 / $5,981.52	Professional		$1,974.15	$4,529.82	$5,981.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,470.31 / $2,013.27 / $5,559.58	Facility		$1,470.31	$2,013.27	$5,559.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,470.31 / $2,848.60 / $7,700.00	Facility		$1,470.31	$2,848.60	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,700.95 / $3,927.47 / $9,855.07	Professional		$1,700.95	$3,927.47	$9,855.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,212.24 / $3,146.30	Professional		$85.00	$1,212.24	$3,146.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,470.31 / $2,013.27 / $5,559.58	Facility		$1,470.31	$2,013.27	$5,559.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,841.15 / $4,387.17 / $5,935.34	Professional		$2,841.15	$4,387.17	$5,935.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,583.20 / $13,583.20 / $13,583.20	Facility		$13,583.20	$13,583.20	$13,583.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,018.64 / $7,140.85 / $10,849.84	Professional		$2,018.64	$7,140.85	$10,849.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,450.10 / $7,450.10 / $7,450.10	Professional		$7,450.10	$7,450.10	$7,450.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,332.78 / $8,565.40 / $8,565.40	Professional		$4,332.78	$8,565.40	$8,565.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,657.40 / $4,192.49 / $7,008.21	Professional		$1,657.40	$4,192.49	$7,008.21