Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.91 / $2,823.34 / $14,482.00	Facility		$1,390.91	$2,823.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.61 / $1,418.94 / $4,630.12	Professional		$1,304.61	$1,418.94	$4,630.12
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 $1,359.11 / $3,596.26 / $9,404.75	Professional		$1,359.11	$3,596.26	$9,404.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,541.40 / $4,138.41 / $6,675.11	Facility		$3,541.40	$4,138.41	$6,675.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.68 / $4,288.58 / $5,666.55	Professional		$1,869.68	$4,288.58	$5,666.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.30 / $1,828.39 / $2,752.49	Facility		$1,380.30	$1,828.39	$2,752.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,390.91 / $2,747.50 / $7,700.00	Facility		$1,390.91	$2,747.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,595.89 / $3,714.26 / $9,317.37	Professional		$1,595.89	$3,714.26	$9,317.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,147.55 / $2,940.30	Professional		$85.00	$1,147.55	$2,940.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,390.91 / $1,902.75 / $2,752.49	Facility		$1,390.91	$1,902.75	$2,752.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,690.35 / $4,154.31 / $5,611.52	Professional		$2,690.35	$4,154.31	$5,611.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,858.72 / $12,858.72 / $12,858.72	Facility		$12,858.72	$12,858.72	$12,858.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,911.13 / $6,753.20 / $12,420.21	Professional		$1,911.13	$6,753.20	$12,420.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,045.20 / $7,045.20 / $7,045.20	Professional		$7,045.20	$7,045.20	$7,045.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,642.26 / $8,109.20 / $8,109.20	Professional		$4,642.26	$8,109.20	$8,109.20
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 $1,573.98 / $4,397.34 / $6,740.37	Professional		$1,573.98	$4,397.34	$6,740.37