Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,823.39 / $3,688.97 / $14,482.00	Facility		$1,823.39	$3,688.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,708.06 / $1,863.77 / $6,047.67	Professional		$1,708.06	$1,863.77	$6,047.67
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 $1,789.31 / $4,731.71 / $12,334.71	Professional		$1,789.31	$4,731.71	$12,334.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,621.84 / $5,400.99 / $8,711.61	Facility		$4,621.84	$5,400.99	$8,711.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,442.91 / $5,605.58 / $7,393.15	Professional		$2,442.91	$5,605.58	$7,393.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,823.39 / $2,505.03 / $7,523.24	Facility		$1,823.39	$2,505.03	$7,523.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,823.39 / $3,364.00 / $7,700.00	Facility		$1,823.39	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,107.98 / $4,885.72 / $12,234.43	Professional		$2,107.98	$4,885.72	$12,234.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $1,484.44 / $3,849.05	Professional		$111.18	$1,484.44	$3,849.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,823.39 / $2,505.03 / $7,523.24	Facility		$1,823.39	$2,505.03	$7,523.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,518.45 / $5,433.03 / $7,368.35	Professional		$3,518.45	$5,433.03	$7,368.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,916.83 / $18,916.83 / $18,916.83	Facility		$18,916.83	$18,916.83	$18,916.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,498.03 / $8,883.15 / $24,885.00	Professional		$2,498.03	$8,883.15	$24,885.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,240.04 / $9,240.04 / $9,240.04	Professional		$9,240.04	$9,240.04	$9,240.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,635.87 / $10,599.48 / $10,599.48	Professional		$8,635.87	$10,599.48	$10,599.48
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 $2,107.98 / $5,895.78 / $8,691.12	Professional		$2,107.98	$5,895.78	$8,691.12