Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.01 / $3,348.25 / $14,482.00	Facility		$1,604.01	$3,348.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.69 / $1,604.01 / $6,324.47	Professional		$1,483.69	$1,604.01	$6,324.47
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 $1,606.44 / $3,701.56 / $9,936.89	Professional		$1,606.44	$3,701.56	$9,936.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,230.76 / $4,943.97 / $7,584.19	Facility		$4,230.76	$4,943.97	$7,584.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,264.06 / $6,490.72 / $7,375.81	Professional		$2,264.06	$6,490.72	$7,375.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,588.66 / $2,244.09 / $3,720.28	Facility		$1,588.66	$2,244.09	$3,720.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,588.66 / $3,294.29 / $13,120.00	Facility		$1,588.66	$3,294.29	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,779.72 / $3,447.93 / $14,308.48	Professional		$1,779.72	$3,447.93	$14,308.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $958.77 / $3,090.36	Professional		$126.60	$958.77	$3,090.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,588.66 / $2,232.17 / $3,720.28	Facility		$1,588.66	$2,232.17	$3,720.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,159.65 / $3,849.91 / $5,747.16	Professional		$3,159.65	$3,849.91	$5,747.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,118.40 / $15,118.40 / $15,118.40	Facility		$15,118.40	$15,118.40	$15,118.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,036.71 / $7,998.35 / $14,308.48	Professional		$3,036.71	$7,998.35	$14,308.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,329.89 / $5,329.89 / $5,329.89	Professional		$5,329.89	$5,329.89	$5,329.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,033.06 / $8,190.58 / $10,329.53	Professional		$5,033.06	$8,190.58	$10,329.53
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,750.47 / $3,356.59 / $7,278.50	Professional		$1,750.47	$3,356.59	$7,278.50