Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.28 / $3,108.35 / $14,482.00	Facility		$1,438.28	$3,108.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,381.80 / $1,460.05 / $6,203.37	Professional		$1,381.80	$1,460.05	$6,203.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,541.18 / $4,316.93 / $10,509.89	Professional		$1,541.18	$4,316.93	$10,509.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,871.21 / $4,523.82 / $7,296.76	Facility		$3,871.21	$4,523.82	$7,296.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,762.98 / $4,474.35 / $6,161.91	Professional		$2,762.98	$4,474.35	$6,161.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,438.28 / $1,682.79 / $2,993.47	Facility		$1,438.28	$1,682.79	$2,993.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,460.05 / $2,803.00 / $7,700.00	Facility		$1,460.05	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,861.94 / $3,994.38 / $9,279.25	Professional		$1,861.94	$3,994.38	$9,279.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.78 / $1,332.90 / $3,540.81	Professional		$139.78	$1,332.90	$3,540.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,438.28 / $1,682.79 / $2,993.47	Facility		$1,438.28	$1,682.79	$2,993.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,142.10 / $4,851.89 / $5,715.24	Professional		$3,142.10	$4,851.89	$5,715.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,343.73 / $20,343.73 / $20,343.73	Facility		$20,343.73	$20,343.73	$20,343.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,923.48 / $7,681.50 / $11,601.44	Professional		$2,923.48	$7,681.50	$11,601.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,727.52 / $6,727.52 / $6,727.52	Professional		$6,727.52	$6,727.52	$6,727.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,041.16 / $9,930.59 / $9,930.59	Professional		$7,041.16	$9,930.59	$9,930.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,861.94 / $4,214.16 / $6,732.83	Professional		$1,861.94	$4,214.16	$6,732.83