Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,634.16 / $2,773.96 / $14,482.00	Facility		$1,634.16	$2,773.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,191.57 / $1,634.16 / $4,787.74	Professional		$1,191.57	$1,634.16	$4,787.74
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 $1,346.42 / $3,804.29 / $8,282.50	Professional		$1,346.42	$3,804.29	$8,282.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.51 / $4,052.06 / $6,535.83	Facility		$3,467.51	$4,052.06	$6,535.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,836.97 / $4,137.60 / $5,565.04	Professional		$1,836.97	$4,137.60	$5,565.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,356.16 / $1,911.97 / $3,297.00	Facility		$1,356.16	$1,911.97	$3,297.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,559.89 / $2,803.00 / $7,700.00	Facility		$1,559.89	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,617.49 / $4,437.38 / $9,526.70	Professional		$1,617.49	$4,437.38	$9,526.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $894.48 / $2,841.86	Professional		$141.41	$894.48	$2,841.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,368.72 / $1,911.97 / $3,297.00	Facility		$1,368.72	$1,911.97	$3,297.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,779.40 / $4,276.00 / $5,459.02	Professional		$2,779.40	$4,276.00	$5,459.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,441.88 / $29,441.88 / $29,441.88	Facility		$29,441.88	$29,441.88	$29,441.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,881.74 / $6,712.35 / $10,259.12	Professional		$1,881.74	$6,712.35	$10,259.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.85 / $3,311.85 / $3,311.85	Professional		$3,311.85	$3,311.85	$3,311.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,336.50 / $8,074.95 / $8,074.95	Professional		$3,336.50	$8,074.95	$8,074.95
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 $1,610.96 / $4,088.94 / $6,000.84	Professional		$1,610.96	$4,088.94	$6,000.84