Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,429.78 / $2,886.34 / $14,482.00	Facility		$1,429.78	$2,886.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,382.29 / $1,501.35 / $4,851.60	Professional		$1,382.29	$1,501.35	$4,851.60
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 $1,378.28 / $3,796.35 / $9,715.29	Professional		$1,378.28	$3,796.35	$9,715.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.49 / $4,222.64 / $6,810.99	Facility		$3,613.49	$4,222.64	$6,810.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,911.40 / $4,382.81 / $5,785.38	Professional		$1,911.40	$4,382.81	$5,785.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,411.10 / $1,929.59 / $2,758.06	Facility		$1,411.10	$1,929.59	$2,758.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,429.78 / $2,758.06 / $7,700.00	Facility		$1,429.78	$2,758.06	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,653.77 / $3,656.56 / $9,401.03	Professional		$1,653.77	$3,656.56	$9,401.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $962.17 / $3,064.48	Professional		$85.26	$962.17	$3,064.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,429.78 / $1,929.59 / $2,758.06	Facility		$1,429.78	$1,929.59	$2,758.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,887.30 / $4,442.00 / $5,661.90	Professional		$2,887.30	$4,442.00	$5,661.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,566.72 / $13,566.72 / $13,566.72	Facility		$13,566.72	$13,566.72	$13,566.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,953.12 / $6,890.80 / $10,618.32	Professional		$1,953.12	$6,890.80	$10,618.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,277.82 / $7,277.82 / $7,277.82	Professional		$7,277.82	$7,277.82	$7,277.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,927.93 / $8,287.36 / $8,287.36	Professional		$6,927.93	$8,287.36	$8,287.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,569.05 / $4,018.24 / $6,877.71	Professional		$1,569.05	$4,018.24	$6,877.71