Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,702.00 / $3,559.46 / $14,482.00	Facility		$1,702.00	$3,559.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.66 / $1,798.34 / $8,141.77	Professional		$1,665.66	$1,798.34	$8,141.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,720.91 / $3,927.70 / $10,704.60	Professional		$1,720.91	$3,927.70	$10,704.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,494.79 / $5,252.51 / $8,057.49	Facility		$4,494.79	$5,252.51	$8,057.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,598.19 / $7,192.25 / $8,206.39	Professional		$2,598.19	$7,192.25	$8,206.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,702.00 / $2,486.67 / $3,822.29	Facility		$1,702.00	$2,486.67	$3,822.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,722.73 / $3,401.26 / $16,976.00	Facility		$1,722.73	$3,401.26	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,008.85 / $3,522.22 / $18,872.39	Professional		$2,008.85	$3,522.22	$18,872.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,077.09 / $3,405.92	Professional		$200.71	$1,077.09	$3,405.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,702.00 / $2,486.67 / $3,822.29	Facility		$1,702.00	$2,486.67	$3,822.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,588.00 / $4,371.84 / $6,526.30	Professional		$3,588.00	$4,371.84	$6,526.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,620.78 / $29,620.78 / $29,620.78	Facility		$29,620.78	$29,620.78	$29,620.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,250.69 / $8,516.50 / $18,872.39	Professional		$3,250.69	$8,516.50	$18,872.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,669.96 / $5,669.96 / $5,669.96	Professional		$5,669.96	$5,669.96	$5,669.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,973.85 / $10,573.18 / $11,057.44	Professional		$4,973.85	$10,573.18	$11,057.44
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,959.90 / $3,574.03 / $7,750.02	Professional		$1,959.90	$3,574.03	$7,750.02