Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,471.59 / $3,609.31 / $14,482.00	Facility		$1,471.59	$3,609.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,471.59 / $1,545.09 / $5,446.33	Professional		$1,471.59	$1,545.09	$5,446.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,709.44 / $3,453.04 / $7,831.50	Professional		$1,709.44	$3,453.04	$7,831.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,549.75 / $5,316.75 / $8,156.03	Facility		$4,549.75	$5,316.75	$8,156.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,686.76 / $3,468.34 / $5,085.84	Professional		$1,686.76	$3,468.34	$5,085.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,604.14 / $2,393.21 / $5,097.78	Facility		$1,604.14	$2,393.21	$5,097.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,721.76 / $4,805.22 / $11,598.00	Facility		$1,721.76	$4,805.22	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,607.16 / $2,763.47 / $7,497.89	Professional		$1,607.16	$2,763.47	$7,497.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.17 / $1,010.01 / $3,213.04	Professional		$158.17	$1,010.01	$3,213.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,604.14 / $2,393.21 / $5,097.78	Facility		$1,604.14	$2,393.21	$5,097.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,355.16 / $4,301.88 / $6,104.99	Professional		$3,355.16	$4,301.88	$6,104.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,529.08 / $12,416.34 / $12,416.34	Facility		$7,529.08	$12,416.34	$12,416.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,027.14 / $7,356.56 / $13,065.44	Professional		$2,027.14	$7,356.56	$13,065.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,242.69 / $3,242.69 / $3,242.69	Professional		$3,242.69	$3,242.69	$3,242.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,007.76 / $5,583.62 / $7,442.33	Professional		$3,007.76	$5,583.62	$7,442.33
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,604.14 / $2,757.58 / $6,783.90	Professional		$1,604.14	$2,757.58	$6,783.90