Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.84 / $3,249.14 / $14,482.00	Facility		$1,484.84	$3,249.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,358.26 / $1,484.84 / $5,442.98	Professional		$1,358.26	$1,484.84	$5,442.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,511.23 / $4,138.43 / $8,681.70	Professional		$1,511.23	$4,138.43	$8,681.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,173.09 / $4,876.58 / $7,865.75	Facility		$4,173.09	$4,876.58	$7,865.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,151.65 / $4,573.82 / $6,621.48	Professional		$2,151.65	$4,573.82	$6,621.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,484.84 / $2,115.71 / $3,104.73	Facility		$1,484.84	$2,115.71	$3,104.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,588.47 / $5,266.00 / $15,126.00	Facility		$1,588.47	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,776.13 / $3,758.90 / $9,996.12	Professional		$1,776.13	$3,758.90	$9,996.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $1,010.91 / $3,210.76	Professional		$95.42	$1,010.91	$3,210.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,484.84 / $2,172.98 / $3,104.73	Facility		$1,484.84	$2,172.98	$3,104.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,095.95 / $4,763.00 / $5,631.29	Professional		$3,095.95	$4,763.00	$5,631.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,216.78 / $7,517.80 / $11,786.72	Professional		$2,216.78	$7,517.80	$11,786.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,429.35 / $4,429.35 / $4,429.35	Professional		$4,429.35	$4,429.35	$4,429.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,947.54 / $8,934.31 / $8,934.31	Professional		$4,947.54	$8,934.31	$8,934.31
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,768.05 / $4,589.45 / $7,238.85	Professional		$1,768.05	$4,589.45	$7,238.85