Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,530.60 / $3,088.49 / $14,482.00	Facility		$1,530.60	$3,088.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.69 / $1,530.60 / $4,861.62	Professional		$1,479.69	$1,530.60	$4,861.62
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 $1,477.03 / $3,878.23 / $10,397.84	Professional		$1,477.03	$3,878.23	$10,397.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,864.00 / $4,515.39 / $7,283.17	Facility		$3,864.00	$4,515.39	$7,283.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,045.27 / $4,689.10 / $6,186.25	Professional		$2,045.27	$4,689.10	$6,186.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,509.93 / $2,067.84 / $2,951.22	Facility		$1,509.93	$2,067.84	$2,951.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,530.60 / $2,803.00 / $7,700.00	Facility		$1,530.60	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,657.60 / $3,857.69 / $10,073.40	Professional		$1,657.60	$3,857.69	$10,073.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $1,345.64 / $3,407.60	Professional		$107.55	$1,345.64	$3,407.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,530.60 / $2,067.84 / $2,951.22	Facility		$1,530.60	$2,067.84	$2,951.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.75 / $4,755.00 / $6,066.84	Professional		$3,090.75	$4,755.00	$6,066.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,594.74 / $23,594.74 / $23,594.74	Facility		$23,594.74	$23,594.74	$23,594.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.61 / $7,384.45 / $11,364.80	Professional		$2,089.61	$7,384.45	$11,364.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,789.09 / $7,789.09 / $7,789.09	Professional		$7,789.09	$7,789.09	$7,789.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,942.24 / $8,866.58 / $8,866.58	Professional		$6,942.24	$8,866.58	$8,866.58
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 $1,772.27 / $4,306.13 / $7,124.04	Professional		$1,772.27	$4,306.13	$7,124.04