Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,735.42 / $3,803.74 / $14,482.00	Facility		$1,735.42	$3,803.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,604.39 / $1,735.42 / $6,480.20	Professional		$1,604.39	$1,735.42	$6,480.20
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 $1,802.59 / $4,821.12 / $10,453.78	Professional		$1,802.59	$4,821.12	$10,453.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,861.54 / $5,681.10 / $9,163.41	Facility		$4,861.54	$5,681.10	$9,163.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,518.91 / $5,363.48 / $7,702.39	Professional		$2,518.91	$5,363.48	$7,702.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,735.42 / $2,523.63 / $3,768.00	Facility		$1,735.42	$2,523.63	$3,768.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,859.61 / $5,266.00 / $15,126.00	Facility		$1,859.61	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,129.02 / $4,483.88 / $11,924.06	Professional		$2,129.02	$4,483.88	$11,924.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $1,177.53 / $3,786.42	Professional		$127.76	$1,177.53	$3,786.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,735.42 / $2,523.63 / $3,768.00	Facility		$1,735.42	$2,523.63	$3,768.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,638.70 / $5,618.71 / $6,618.52	Professional		$3,638.70	$5,618.71	$6,618.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,960.05 / $13,960.05 / $13,960.05	Facility		$13,960.05	$13,960.05	$13,960.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,599.48 / $8,967.75 / $14,283.70	Professional		$2,599.48	$8,967.75	$14,283.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,160.02 / $5,160.02 / $5,160.02	Professional		$5,160.02	$5,160.02	$5,160.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,788.41 / $10,476.75 / $10,476.75	Professional		$5,788.41	$10,476.75	$10,476.75
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,733.00 / $15,126.00	Facility		$7,217.00	$11,733.00	$15,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,129.02 / $4,135.93 / $8,655.28	Professional		$2,129.02	$4,135.93	$8,655.28