Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,724.30 / $2,887.33 / $14,482.00	Facility		$1,724.30	$2,887.33	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.83 / $1,724.30 / $6,266.66	Professional		$1,176.83	$1,724.30	$6,266.66
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 $1,339.47 / $3,964.80 / $8,335.95	Professional		$1,339.47	$3,964.80	$8,335.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,713.52 / $4,339.54 / $6,999.52	Facility		$3,713.52	$4,339.54	$6,999.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,912.06 / $4,337.41 / $5,885.60	Professional		$1,912.06	$4,337.41	$5,885.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,411.59 / $1,875.26 / $2,759.01	Facility		$1,411.59	$1,875.26	$2,759.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,553.23 / $4,240.00 / $12,631.00	Facility		$1,553.23	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,607.09 / $4,358.08 / $9,604.91	Professional		$1,607.09	$4,358.08	$9,604.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $860.11 / $2,823.14	Professional		$107.61	$860.11	$2,823.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,411.59 / $1,875.26 / $2,759.01	Facility		$1,411.59	$1,875.26	$2,759.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,750.80 / $4,232.00 / $5,361.47	Professional		$2,750.80	$4,232.00	$5,361.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,960.05 / $13,960.05 / $13,960.05	Facility		$13,960.05	$13,960.05	$13,960.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,972.62 / $6,767.45 / $10,488.80	Professional		$1,972.62	$6,767.45	$10,488.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,470.30 / $3,470.30 / $3,470.30	Professional		$3,470.30	$3,470.30	$3,470.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,274.88 / $8,464.89 / $8,464.89	Professional		$3,274.88	$8,464.89	$8,464.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,607.09 / $4,067.84 / $6,050.10	Professional		$1,607.09	$4,067.84	$6,050.10