Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,900.77 / $3,854.66 / $14,482.00	Facility		$1,900.77	$3,854.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,781.22 / $1,942.14 / $6,301.44	Professional		$1,781.22	$1,942.14	$6,301.44
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 $1,860.26 / $4,929.83 / $12,860.20	Professional		$1,860.26	$4,929.83	$12,860.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,830.89 / $5,645.29 / $9,105.66	Facility		$4,830.89	$5,645.29	$9,105.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,552.63 / $5,856.44 / $7,728.16	Professional		$2,552.63	$5,856.44	$7,728.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,900.77 / $2,604.36 / $7,314.87	Facility		$1,900.77	$2,604.36	$7,314.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,900.77 / $3,364.00 / $7,700.00	Facility		$1,900.77	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,193.50 / $5,085.18 / $12,743.81	Professional		$2,193.50	$5,085.18	$12,743.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.79 / $1,227.30 / $3,913.13	Professional		$108.79	$1,227.30	$3,913.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,900.77 / $2,604.36 / $7,314.87	Facility		$1,900.77	$2,604.36	$7,314.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,676.40 / $5,676.93 / $7,675.13	Professional		$3,676.40	$5,676.93	$7,675.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,761.21 / $19,761.21 / $19,761.21	Facility		$19,761.21	$19,761.21	$19,761.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,609.82 / $9,245.79 / $24,470.00	Professional		$2,609.82	$9,245.79	$24,470.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,633.69 / $9,633.69 / $9,633.69	Professional		$9,633.69	$9,633.69	$9,633.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,998.23 / $11,073.87 / $11,073.87	Professional		$8,998.23	$11,073.87	$11,073.87
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 $2,103.53 / $5,427.78 / $9,060.03	Professional		$2,103.53	$5,427.78	$9,060.03