Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,625.92 / $3,088.10 / $14,482.00	Facility		$1,625.92	$3,088.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,336.41 / $1,625.92 / $5,278.00	Professional		$1,336.41	$1,625.92	$5,278.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,139.00 / $19,992.00	Facility		$6,538.00	$11,139.00	$19,992.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,435.86 / $3,872.08 / $8,249.33	Professional		$1,435.86	$3,872.08	$8,249.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,907.26 / $4,565.93 / $7,364.70	Facility		$3,907.26	$4,565.93	$7,364.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,264.61 / $4,459.27 / $6,223.47	Professional		$2,264.61	$4,459.27	$6,223.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,509.74 / $1,831.65 / $2,950.85	Facility		$1,509.74	$1,831.65	$2,950.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,625.92 / $6,974.21 / $19,754.00	Facility		$1,625.92	$6,974.21	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,656.86 / $3,638.19 / $7,126.88	Professional		$1,656.86	$3,638.19	$7,126.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $934.78 / $3,076.98	Professional		$135.10	$934.78	$3,076.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,509.74 / $1,831.65 / $2,950.85	Facility		$1,509.74	$1,831.65	$2,950.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,986.10 / $4,594.00 / $5,431.49	Professional		$2,986.10	$4,594.00	$5,431.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,259.44 / $14,259.44 / $14,259.44	Facility		$14,259.44	$14,259.44	$14,259.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,325.44 / $7,123.80 / $11,648.54	Professional		$2,325.44	$7,123.80	$11,648.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,708.69 / $3,708.69 / $3,708.69	Professional		$3,708.69	$3,708.69	$3,708.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,707.10 / $8,146.19 / $8,146.19	Professional		$3,707.10	$8,146.19	$8,146.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,974.21 / $14,249.00 / $19,562.00	Facility		$6,974.21	$14,249.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,656.86 / $3,857.73 / $6,244.01	Professional		$1,656.86	$3,857.73	$6,244.01