Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,857.07 / $1,857.07 / $1,857.07	Facility		$1,857.07	$1,857.07	$1,857.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.07 / $1,857.07 / $2,430.40	Professional		$1,857.07	$1,857.07	$2,430.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,331.76 / $1,547.72 / $1,605.31	Facility		$1,331.76	$1,547.72	$1,605.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,820.66 / $1,820.66 / $1,857.07	Professional		$1,820.66	$1,820.66	$1,857.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,039.14 / $4,338.03 / $6,200.93	Facility		$2,039.14	$4,338.03	$6,200.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,820.66 / $1,875.28 / $2,275.83	Professional		$1,820.66	$1,875.28	$2,275.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,857.07 / $2,184.79 / $2,184.79	Facility		$1,857.07	$2,184.79	$2,184.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $719.87 / $1,857.07 / $2,184.79	Facility		$719.87	$1,857.07	$2,184.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,875.28 / $2,119.07 / $3,000.45	Professional		$1,875.28	$2,119.07	$3,000.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $4,303.97	Professional		$55.00	$65.00	$4,303.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,857.07 / $2,184.79 / $2,184.79	Facility		$1,857.07	$2,184.79	$2,184.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,193.40 / $9,193.40 / $9,193.40	Facility		$9,193.40	$9,193.40	$9,193.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Professional		$2,039.14	$2,039.14	$2,039.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.92 / $1,124.92 / $2,056.73	Professional		$1,124.92	$1,124.92	$2,056.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,875.28 / $2,119.07 / $3,075.46	Professional		$1,875.28	$2,119.07	$3,075.46