Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,565.72 / $2,662.04 / $14,482.00	Facility		$1,565.72	$2,662.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.48 / $1,565.72 / $4,565.84	Professional		$1,030.48	$1,565.72	$4,565.84
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 $1,281.23 / $3,574.42 / $7,679.11	Professional		$1,281.23	$3,574.42	$7,679.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,334.14 / $3,896.21 / $6,284.45	Facility		$3,334.14	$3,896.21	$6,284.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,762.87 / $3,969.23 / $5,324.38	Professional		$1,762.87	$3,969.23	$5,324.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,301.44 / $1,831.89 / $2,586.69	Facility		$1,301.44	$1,831.89	$2,586.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,492.98 / $2,586.69 / $7,700.00	Facility		$1,492.98	$2,586.69	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,539.72 / $4,223.93 / $9,081.90	Professional		$1,539.72	$4,223.93	$9,081.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $858.51 / $2,745.17	Professional		$117.62	$858.51	$2,745.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,368.72 / $1,831.89 / $2,586.69	Facility		$1,368.72	$1,831.89	$2,586.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,659.80 / $4,092.00 / $5,196.42	Professional		$2,659.80	$4,092.00	$5,196.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,760.08 / $29,760.08 / $29,760.08	Facility		$29,760.08	$29,760.08	$29,760.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,805.17 / $6,398.95 / $9,848.32	Professional		$1,805.17	$6,398.95	$9,848.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,168.99 / $3,168.99 / $3,168.99	Professional		$3,168.99	$3,168.99	$3,168.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,024.95 / $7,746.38 / $7,746.38	Professional		$3,024.95	$7,746.38	$7,746.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,539.72 / $4,415.28 / $5,720.66	Professional		$1,539.72	$4,415.28	$5,720.66