Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.58 / $2,663.75 / $14,482.00	Facility		$1,397.58	$2,663.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.55 / $1,397.58 / $4,380.72	Professional		$1,320.55	$1,397.58	$4,380.72
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 $1,288.25 / $3,410.51 / $7,406.39	Professional		$1,288.25	$3,410.51	$7,406.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,338.65 / $3,901.48 / $6,292.94	Facility		$3,338.65	$3,901.48	$6,292.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,764.00 / $4,045.54 / $5,343.00	Professional		$1,764.00	$4,045.54	$5,343.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,302.28 / $1,803.55 / $2,595.09	Facility		$1,302.28	$1,803.55	$2,595.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,397.58 / $2,595.09 / $7,700.00	Facility		$1,397.58	$2,595.09	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,523.57 / $3,148.74 / $6,917.90	Professional		$1,523.57	$3,148.74	$6,917.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,074.67 / $2,792.84	Professional		$85.00	$1,074.67	$2,792.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,397.58 / $1,828.35 / $2,595.09	Facility		$1,397.58	$1,828.35	$2,595.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,539.55 / $3,921.46 / $4,619.25	Professional		$2,539.55	$3,921.46	$4,619.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,130.64 / $12,130.64 / $12,130.64	Facility		$12,130.64	$12,130.64	$12,130.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,802.83 / $6,387.80 / $9,692.64	Professional		$1,802.83	$6,387.80	$9,692.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,550.11 / $3,550.11 / $3,550.11	Professional		$3,550.11	$3,550.11	$3,550.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,726.89 / $6,263.31 / $6,263.31	Professional		$3,726.89	$6,263.31	$6,263.31
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 $1,511.90 / $2,946.05 / $6,067.66	Professional		$1,511.90	$2,946.05	$6,067.66