Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.23 / $2,769.93 / $14,482.00	Facility		$1,237.23	$2,769.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.23 / $1,416.46 / $5,232.09	Professional		$1,237.23	$1,416.46	$5,232.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,295.80 / $2,957.06 / $7,622.32	Professional		$1,295.80	$2,957.06	$7,622.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,481.93 / $4,068.91 / $6,241.81	Facility		$3,481.93	$4,068.91	$6,241.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,056.56 / $5,206.16 / $5,916.09	Professional		$2,056.56	$5,206.16	$5,916.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,237.23 / $1,785.67 / $2,940.00	Facility		$1,237.23	$1,785.67	$2,940.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,237.23 / $1,949.71 / $5,887.00	Facility		$1,237.23	$1,949.71	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,485.45 / $2,567.23 / $10,237.84	Professional		$1,485.45	$2,567.23	$10,237.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $904.26 / $2,900.85	Professional		$137.33	$904.26	$2,900.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,237.23 / $1,785.67 / $2,940.00	Facility		$1,237.23	$1,785.67	$2,940.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,868.45 / $3,495.10 / $5,217.49	Professional		$2,868.45	$3,495.10	$5,217.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,983.92 / $14,983.92 / $14,983.92	Facility		$14,983.92	$14,983.92	$14,983.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,615.53 / $6,418.10 / $10,237.84	Professional		$2,615.53	$6,418.10	$10,237.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,651.47 / $4,651.47 / $4,651.47	Professional		$4,651.47	$4,651.47	$4,651.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,076.85 / $7,455.97 / $7,795.69	Professional		$4,076.85	$7,455.97	$7,795.69
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 $1,485.45 / $2,466.26 / $5,776.29	Professional		$1,485.45	$2,466.26	$5,776.29