Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.88 / $3,350.99 / $14,482.00	Facility		$1,651.88	$3,350.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.12 / $1,696.81 / $5,516.33	Professional		$1,548.12	$1,696.81	$5,516.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,152.00	Facility		$5,060.00	$7,979.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,625.55 / $4,318.53 / $11,171.54	Professional		$1,625.55	$4,318.53	$11,171.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,198.32 / $4,906.07 / $7,913.31	Facility		$4,198.32	$4,906.07	$7,913.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,219.10 / $5,089.39 / $6,718.83	Professional		$2,219.10	$5,089.39	$6,718.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,638.26 / $2,168.96 / $3,263.89	Facility		$1,638.26	$2,168.96	$3,263.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,651.88 / $2,803.00 / $7,700.00	Facility		$1,651.88	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,907.43 / $4,432.12 / $11,087.37	Professional		$1,907.43	$4,432.12	$11,087.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,074.73 / $3,391.75	Professional		$85.00	$1,074.73	$3,391.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,638.26 / $2,168.96 / $3,263.89	Facility		$1,638.26	$2,168.96	$3,263.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,195.40 / $4,934.18 / $6,677.52	Professional		$3,195.40	$4,934.18	$6,677.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,263.52 / $15,263.52 / $15,263.52	Facility		$15,263.52	$15,263.52	$15,263.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,268.01 / $8,058.40 / $14,877.05	Professional		$2,268.01	$8,058.40	$14,877.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,368.66 / $8,368.66 / $8,368.66	Professional		$8,368.66	$8,368.66	$8,368.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,189.68 / $9,623.51 / $9,623.51	Professional		$6,189.68	$9,623.51	$9,623.51
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 $1,844.90 / $4,936.63 / $7,873.66	Professional		$1,844.90	$4,936.63	$7,873.66