Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.22 / $2,573.19 / $14,482.00	Facility		$1,514.22	$2,573.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.50 / $1,514.22 / $4,445.85	Professional		$1,112.50	$1,514.22	$4,445.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,243.44 / $3,480.70 / $7,461.82	Professional		$1,243.44	$3,480.70	$7,461.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,218.80 / $3,761.42 / $6,067.04	Facility		$3,218.80	$3,761.42	$6,067.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,172.91 / $3,837.13 / $5,141.13	Professional		$2,172.91	$3,837.13	$5,141.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $1,570.00 / $2,458.83	Facility		$1,258.00	$1,570.00	$2,458.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.47 / $2,458.83 / $7,700.00	Facility		$1,445.47	$2,458.83	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,497.58 / $4,119.39 / $8,824.94	Professional		$1,497.58	$4,119.39	$8,824.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $832.20 / $2,678.86	Professional		$107.18	$832.20	$2,678.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $1,570.00 / $2,458.83	Facility		$1,258.00	$1,570.00	$2,458.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,575.30 / $3,965.66 / $5,067.83	Professional		$2,575.30	$3,965.66	$5,067.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,675.45 / $16,675.45 / $16,675.45	Facility		$16,675.45	$16,675.45	$16,675.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,225.28 / $6,217.90 / $9,508.08	Professional		$2,225.28	$6,217.90	$9,508.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,066.05 / $3,066.05 / $3,066.05	Professional		$3,066.05	$3,066.05	$3,066.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,930.97 / $7,488.52 / $7,488.52	Professional		$2,930.97	$7,488.52	$7,488.52
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 $1,497.58 / $3,420.82 / $5,558.80	Professional		$1,497.58	$3,420.82	$5,558.80