Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.60 / $1,076.60 / $17,823.00	Facility		$1,076.60	$1,076.60	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.60 / $1,953.98 / $2,758.40	Professional		$1,076.60	$1,953.98	$2,758.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,458.00	Facility		$7,084.00	$11,783.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,750.88 / $3,975.19 / $11,798.69	Professional		$1,750.88	$3,975.19	$11,798.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,280.32 / $5,001.89 / $8,067.88	Facility		$4,280.32	$5,001.89	$8,067.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,857.09 / $2,510.75 / $2,952.91	Professional		$1,857.09	$2,510.75	$2,952.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,076.60 / $1,828.43 / $3,275.93	Facility		$1,076.60	$1,828.43	$3,275.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,676.06 / $3,275.93 / $7,868.00	Facility		$1,676.06	$3,275.93	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,078.92 / $5,961.18 / $9,869.24	Professional		$2,078.92	$5,961.18	$9,869.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $7,266.17	Professional		$50.00	$58.40	$7,266.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,076.60 / $1,828.43 / $3,275.93	Facility		$1,076.60	$1,828.43	$3,275.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,307.60 / $4,235.07 / $6,097.04	Professional		$2,307.60	$4,235.07	$6,097.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33,262.40 / $33,262.40 / $33,262.40	Facility		$33,262.40	$33,262.40	$33,262.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,348.91 / $13,067.20 / $13,067.20	Professional		$7,348.91	$13,067.20	$13,067.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,266.71 / $8,266.71 / $8,266.71	Professional		$8,266.71	$8,266.71	$8,266.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,488.62 / $11,488.62 / $11,488.62	Professional		$11,488.62	$11,488.62	$11,488.62
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 $1,991.66 / $5,260.54 / $8,566.53	Professional		$1,991.66	$5,260.54	$8,566.53