Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,880.82 / $3,581.91 / $14,482.00	Facility		$1,880.82	$3,581.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,768.78 / $1,880.82 / $5,861.28	Professional		$1,768.78	$1,880.82	$5,861.28
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 $1,729.03 / $4,585.58 / $10,013.02	Professional		$1,729.03	$4,585.58	$10,013.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,486.68 / $5,243.04 / $8,456.83	Facility		$4,486.68	$5,243.04	$8,456.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,372.01 / $5,439.71 / $7,179.83	Professional		$2,372.01	$5,439.71	$7,179.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,880.82 / $2,489.73 / $7,076.73	Facility		$1,880.82	$2,489.73	$7,076.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,880.82 / $3,422.60 / $7,700.00	Facility		$1,880.82	$3,422.60	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,048.42 / $4,227.03 / $9,305.67	Professional		$2,048.42	$4,227.03	$9,305.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $1,446.32 / $3,773.04	Professional		$139.31	$1,446.32	$3,773.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,751.16 / $2,489.73 / $7,076.73	Facility		$1,751.16	$2,489.73	$7,076.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,415.75 / $5,274.44 / $6,212.99	Professional		$3,415.75	$5,274.44	$6,212.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,315.76 / $16,315.76 / $16,315.76	Facility		$16,315.76	$16,315.76	$16,315.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,424.11 / $8,595.35 / $13,038.08	Professional		$2,424.11	$8,595.35	$13,038.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,777.59 / $4,777.59 / $4,777.59	Professional		$4,777.59	$4,777.59	$4,777.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.49 / $8,421.79 / $8,421.79	Professional		$5,011.49	$8,421.79	$8,421.79
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 $2,033.78 / $5,704.17 / $8,161.96	Professional		$2,033.78	$5,704.17	$8,161.96