Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,864.02 / $3,163.70 / $14,482.00	Facility		$1,864.02	$3,163.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.01 / $1,864.02 / $5,480.68	Professional		$1,235.01	$1,864.02	$5,480.68
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 $1,538.15 / $4,292.04 / $9,209.49	Professional		$1,538.15	$4,292.04	$9,209.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,953.21 / $4,619.64 / $7,451.32	Facility		$3,953.21	$4,619.64	$7,451.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,671.58 / $4,719.30 / $6,312.24	Professional		$2,671.58	$4,719.30	$6,312.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,546.70 / $2,119.50 / $3,023.09	Facility		$1,546.70	$2,119.50	$3,023.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $2,803.00 / $7,700.00	Facility		$1,716.00	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,850.15 / $5,080.93 / $10,891.91	Professional		$1,850.15	$5,080.93	$10,891.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $1,021.92 / $3,210.54	Professional		$141.41	$1,021.92	$3,210.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,546.70 / $2,119.50 / $3,023.09	Facility		$1,546.70	$2,119.50	$3,023.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,171.35 / $4,890.75 / $6,250.76	Professional		$3,171.35	$4,890.75	$6,250.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,535.79 / $20,535.79 / $20,535.79	Facility		$20,535.79	$20,535.79	$20,535.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,736.87 / $7,674.25 / $11,708.72	Professional		$2,736.87	$7,674.25	$11,708.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,776.72 / $3,776.72 / $3,776.72	Professional		$3,776.72	$3,776.72	$3,776.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,609.15 / $9,210.18 / $9,210.18	Professional		$3,609.15	$9,210.18	$9,210.18
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 $1,720.03 / $4,211.07 / $6,860.78	Professional		$1,720.03	$4,211.07	$6,860.78