Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,810.66 / $3,058.22 / $14,482.00	Facility		$1,810.66	$3,058.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.42 / $1,810.66 / $3,058.22	Professional		$1,145.42	$1,810.66	$3,058.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,397.19 / $3,862.15 / $8,716.62	Professional		$1,397.19	$3,862.15	$8,716.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,898.25 / $4,555.41 / $7,347.71	Facility		$3,898.25	$4,555.41	$7,347.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,025.22 / $4,570.13 / $6,212.02	Professional		$2,025.22	$4,570.13	$6,212.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,495.13 / $1,956.07 / $2,922.30	Facility		$1,495.13	$1,956.07	$2,922.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,649.46 / $7,590.00 / $15,702.00	Facility		$1,649.46	$7,590.00	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,601.53 / $4,479.78 / $8,014.38	Professional		$1,601.53	$4,479.78	$8,014.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $898.57 / $2,897.05	Professional		$118.69	$898.57	$2,897.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,495.13 / $1,956.07 / $2,922.30	Facility		$1,495.13	$1,956.07	$2,922.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,920.45 / $4,493.00 / $5,609.76	Professional		$2,920.45	$4,493.00	$5,609.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,078.44 / $7,071.60 / $11,082.32	Professional		$2,078.44	$7,071.60	$11,082.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,628.78 / $3,628.78 / $3,628.78	Professional		$3,628.78	$3,628.78	$3,628.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,919.04 / $8,919.04 / $8,919.04	Professional		$8,919.04	$8,919.04	$8,919.04
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,733.00 / $15,126.00	Facility		$7,217.00	$11,733.00	$15,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,675.51 / $4,479.78 / $6,322.01	Professional		$1,675.51	$4,479.78	$6,322.01