Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,512.46 / $2,880.74 / $14,482.00	Facility		$1,512.46	$2,880.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,423.06 / $1,512.46 / $4,713.54	Professional		$1,423.06	$1,512.46	$4,713.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,390.93 / $3,690.51 / $8,006.39	Professional		$1,390.93	$3,690.51	$8,006.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.49 / $4,222.64 / $6,810.99	Facility		$3,613.49	$4,222.64	$6,810.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,907.69 / $4,377.38 / $5,778.22	Professional		$1,907.69	$4,377.38	$5,778.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,408.36 / $1,947.30 / $2,807.28	Facility		$1,408.36	$1,947.30	$2,807.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,512.46 / $5,266.00 / $14,978.00	Facility		$1,512.46	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,649.44 / $3,396.35 / $7,760.12	Professional		$1,649.44	$3,396.35	$7,760.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $1,173.90 / $3,016.32	Professional		$111.18	$1,173.90	$3,016.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,408.36 / $1,947.30 / $2,807.28	Facility		$1,408.36	$1,947.30	$2,807.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,745.60 / $4,239.63 / $4,994.04	Professional		$2,745.60	$4,239.63	$4,994.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,950.72 / $6,906.70 / $11,605.00	Professional		$1,950.72	$6,906.70	$11,605.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,841.57 / $3,841.57 / $3,841.57	Professional		$3,841.57	$3,841.57	$3,841.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,030.48 / $6,777.13 / $6,777.13	Professional		$4,030.48	$6,777.13	$6,777.13
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,649.44 / $4,708.67 / $6,556.79	Professional		$1,649.44	$4,708.67	$6,556.79