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 / $5,434.93	Professional		$1,521.50	$1,853.62	$5,434.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,082.00 / $15,579.70	Facility		$6,538.00	$10,082.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,654.33 / $4,253.95 / $9,187.32	Professional		$1,654.33	$4,253.95	$9,187.32
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 / $3,620.37 / $11,598.00	Facility		$1,718.53	$3,620.37	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,859.74 / $4,236.13 / $8,124.96	Professional		$1,859.74	$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 $4,134.47 / $9,277.68 / $9,277.68	Professional		$4,134.47	$9,277.68	$9,277.68
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,859.74 / $3,594.23 / $7,192.56	Professional		$1,859.74	$3,594.23	$7,192.56