Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $2,842.49 / $14,482.00	Facility		$1,400.90	$2,842.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,313.29 / $1,432.55 / $5,390.35	Professional		$1,313.29	$1,432.55	$5,390.35
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 $1,370.20 / $3,432.15 / $9,468.60	Professional		$1,370.20	$3,432.15	$9,468.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,562.13 / $4,162.63 / $6,714.17	Facility		$3,562.13	$4,162.63	$6,714.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,882.36 / $4,316.43 / $5,702.35	Professional		$1,882.36	$4,316.43	$5,702.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,389.66 / $1,840.65 / $2,730.00	Facility		$1,389.66	$1,840.65	$2,730.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $4,017.00 / $12,216.00	Facility		$1,400.90	$4,017.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,608.63 / $3,743.30 / $9,383.11	Professional		$1,608.63	$3,743.30	$9,383.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,179.90 / $3,016.32	Professional		$85.00	$1,179.90	$3,016.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,840.65 / $2,730.00	Facility		$1,400.90	$1,840.65	$2,730.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,709.85 / $4,184.43 / $5,651.11	Professional		$2,709.85	$4,184.43	$5,651.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,945.04 / $12,945.04 / $12,945.04	Facility		$12,945.04	$12,945.04	$12,945.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,923.54 / $6,806.00 / $12,225.55	Professional		$1,923.54	$6,806.00	$12,225.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,093.02 / $7,093.02 / $7,093.02	Professional		$7,093.02	$7,093.02	$7,093.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,023.29 / $8,161.90 / $8,161.90	Professional		$4,023.29	$8,161.90	$8,161.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,608.63 / $4,163.04 / $6,677.37	Professional		$1,608.63	$4,163.04	$6,677.37