Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,853.62 / $3,515.18 / $14,482.00	Facility		$1,853.62	$3,515.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,521.50 / $1,853.62 / $5,584.81	Professional		$1,521.50	$1,853.62	$5,584.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,653.20 / $4,462.97 / $9,411.67	Professional		$1,653.20	$4,462.97	$9,411.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,448.83 / $5,198.81 / $8,385.49	Facility		$4,448.83	$5,198.81	$8,385.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,577.79 / $5,078.63 / $7,081.04	Professional		$2,577.79	$5,078.63	$7,081.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,562.30 / $1,874.76 / $3,358.95	Facility		$1,562.30	$1,874.76	$3,358.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,718.53 / $4,103.00 / $8,384.00	Facility		$1,718.53	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,898.52 / $4,236.13 / $8,124.96	Professional		$1,898.52	$4,236.13	$8,124.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $1,055.97 / $3,413.64	Professional		$169.65	$1,055.97	$3,413.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,562.30 / $1,874.76 / $3,358.95	Facility		$1,562.30	$1,874.76	$3,358.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,399.50 / $5,230.00 / $6,183.43	Professional		$3,399.50	$5,230.00	$6,183.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,241.92 / $16,241.92 / $16,241.92	Facility		$16,241.92	$16,241.92	$16,241.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,648.43 / $8,206.00 / $12,860.16	Professional		$2,648.43	$8,206.00	$12,860.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,231.22 / $4,231.22 / $4,231.22	Professional		$4,231.22	$4,231.22	$4,231.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,219.77 / $9,277.68 / $9,277.68	Professional		$4,219.77	$9,277.68	$9,277.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,780.66 / $4,355.93 / $7,192.56	Professional		$1,780.66	$4,355.93	$7,192.56