Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,178.35 / $1,178.35 / $14,482.00	Facility		$1,178.35	$1,178.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,178.35 / $1,303.58 / $2,659.27	Professional		$1,178.35	$1,303.58	$2,659.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $894.84 / $2,923.65 / $7,179.10	Professional		$894.84	$2,923.65	$7,179.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,288.67 / $6,180.23 / $9,480.64	Facility		$5,288.67	$6,180.23	$9,480.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,227.88 / $3,101.58 / $3,524.53	Professional		$2,227.88	$3,101.58	$3,524.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,178.35 / $1,818.64 / $4,091.94	Facility		$1,178.35	$1,818.64	$4,091.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,218.08 / $2,194.07 / $11,598.00	Facility		$1,218.08	$2,194.07	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $675.03 / $2,071.41 / $14,301.28	Professional		$675.03	$2,071.41	$14,301.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $3,328.56	Professional		$50.00	$58.40	$3,328.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,178.35 / $1,818.64 / $4,091.94	Facility		$1,178.35	$1,818.64	$4,091.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,113.96 / $4,635.78 / $6,357.74	Professional		$2,113.96	$4,635.78	$6,357.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,430.91 / $9,430.91 / $26,033.45	Facility		$9,430.91	$9,430.91	$26,033.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,042.94 / $8,373.20 / $14,301.28	Professional		$8,042.94	$8,373.20	$14,301.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,238.99 / $6,238.99 / $6,238.99	Professional		$6,238.99	$6,238.99	$6,238.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,554.91 / $12,577.71 / $12,577.71	Professional		$7,554.91	$12,577.71	$12,577.71
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $735.90 / $2,460.10 / $6,218.73	Professional		$735.90	$2,460.10	$6,218.73