Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.88 / $3,552.26 / $14,482.00	Facility		$1,614.88	$3,552.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.11 / $1,614.88 / $6,115.83	Professional		$1,513.11	$1,614.88	$6,115.83
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 $1,700.83 / $4,481.25 / $9,806.20	Professional		$1,700.83	$4,481.25	$9,806.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,514.60 / $5,275.68 / $8,509.49	Facility		$4,514.60	$5,275.68	$8,509.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,352.39 / $4,995.18 / $7,172.67	Professional		$2,352.39	$4,995.18	$7,172.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,614.88 / $2,360.33 / $3,768.00	Facility		$1,614.88	$2,360.33	$3,768.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $3,364.00 / $7,700.00	Facility		$1,716.00	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,005.63 / $4,214.97 / $11,208.97	Professional		$2,005.63	$4,214.97	$11,208.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $1,102.39 / $3,524.40	Professional		$96.23	$1,102.39	$3,524.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,614.88 / $2,360.33 / $3,768.00	Facility		$1,614.88	$2,360.33	$3,768.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,404.05 / $5,256.38 / $6,191.71	Professional		$3,404.05	$5,256.38	$6,191.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,511.56 / $24,511.56 / $24,511.56	Facility		$24,511.56	$24,511.56	$24,511.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,421.00 / $8,429.95 / $14,283.70	Professional		$2,421.00	$8,429.95	$14,283.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,796.25 / $4,796.25 / $4,796.25	Professional		$4,796.25	$4,796.25	$4,796.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,393.12 / $9,757.36 / $9,757.36	Professional		$5,393.12	$9,757.36	$9,757.36
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 $2,005.63 / $5,151.54 / $8,824.35	Professional		$2,005.63	$5,151.54	$8,824.35