Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,565.63 / $3,271.19 / $14,482.00	Facility		$1,565.63	$3,271.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,491.95 / $1,565.63 / $7,490.26	Professional		$1,491.95	$1,565.63	$7,490.26
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 $1,575.51 / $3,613.00 / $9,243.71	Professional		$1,575.51	$3,613.00	$9,243.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,131.64 / $4,828.14 / $7,406.49	Facility		$4,131.64	$4,828.14	$7,406.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,372.05 / $6,339.09 / $7,203.51	Professional		$2,372.05	$6,339.09	$7,203.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,551.87 / $2,289.29 / $3,460.04	Facility		$1,551.87	$2,289.29	$3,460.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,565.63 / $3,125.80 / $13,120.00	Facility		$1,565.63	$3,125.80	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,740.48 / $3,149.67 / $12,979.34	Professional		$1,740.48	$3,149.67	$12,979.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $924.15 / $2,927.00	Professional		$126.60	$924.15	$2,927.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,551.87 / $2,254.29 / $3,460.04	Facility		$1,551.87	$2,254.29	$3,460.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,086.20 / $3,760.42 / $5,613.56	Professional		$3,086.20	$3,760.42	$5,613.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,764.48 / $14,764.48 / $14,764.48	Facility		$14,764.48	$14,764.48	$14,764.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,965.79 / $7,835.00 / $12,979.34	Professional		$2,965.79	$7,835.00	$12,979.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,198.33 / $5,198.33 / $5,198.33	Professional		$5,198.33	$5,198.33	$5,198.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,003.83 / $8,002.42 / $10,088.29	Professional		$5,003.83	$8,002.42	$10,088.29
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 $1,721.00 / $3,135.02 / $7,129.85	Professional		$1,721.00	$3,135.02	$7,129.85