Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.18 / $3,320.10 / $14,482.00	Facility		$1,513.18	$3,320.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,426.16 / $1,513.18 / $5,755.42	Professional		$1,426.16	$1,513.18	$5,755.42
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 $1,585.46 / $4,268.70 / $9,192.11	Professional		$1,585.46	$4,268.70	$9,192.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,249.68 / $4,966.09 / $8,010.13	Facility		$4,249.68	$4,966.09	$8,010.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,198.64 / $4,682.13 / $6,730.29	Professional		$2,198.64	$4,682.13	$6,730.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.18 / $2,166.60 / $3,172.54	Facility		$1,513.18	$2,166.60	$3,172.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,623.16 / $2,803.00 / $7,700.00	Facility		$1,623.16	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,859.94 / $3,921.85 / $10,429.45	Professional		$1,859.94	$3,921.85	$10,429.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.78 / $1,015.86 / $3,307.68	Professional		$119.78	$1,015.86	$3,307.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,513.18 / $2,166.60 / $3,172.54	Facility		$1,513.18	$2,166.60	$3,172.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,173.95 / $4,901.07 / $5,773.17	Professional		$3,173.95	$4,901.07	$5,773.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,378.33 / $13,378.33 / $13,378.33	Facility		$13,378.33	$13,378.33	$13,378.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,269.27 / $7,843.70 / $12,116.64	Professional		$2,269.27	$7,843.70	$12,116.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,495.89 / $4,495.89 / $4,495.89	Professional		$4,495.89	$4,495.89	$4,495.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,068.80 / $9,145.85 / $9,145.85	Professional		$5,068.80	$9,145.85	$9,145.85
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 $1,790.38 / $4,483.79 / $7,651.41	Professional		$1,790.38	$4,483.79	$7,651.41