Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,846.19 / $2,987.86 / $14,482.00	Facility		$1,846.19	$2,987.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.27 / $1,846.19 / $5,260.44	Professional		$1,032.27	$1,846.19	$5,260.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,462.21 / $3,588.40 / $8,919.99	Professional		$1,462.21	$3,588.40	$8,919.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,723.43 / $4,351.12 / $7,018.20	Facility		$3,723.43	$4,351.12	$7,018.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,523.08 / $4,494.12 / $5,986.59	Professional		$2,523.08	$4,494.12	$5,986.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,460.73 / $2,268.65 / $2,855.07	Facility		$1,460.73	$2,268.65	$2,855.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,620.40 / $2,803.00 / $7,700.00	Facility		$1,620.40	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,753.99 / $4,405.68 / $8,573.19	Professional		$1,753.99	$4,405.68	$8,573.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $1,022.10 / $3,197.92	Professional		$94.67	$1,022.10	$3,197.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,460.73 / $2,268.65 / $2,855.07	Facility		$1,460.73	$2,268.65	$2,855.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,981.55 / $4,603.97 / $6,042.12	Professional		$2,981.55	$4,603.97	$6,042.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,068.64 / $28,068.64 / $28,068.64	Facility		$28,068.64	$28,068.64	$28,068.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,579.79 / $7,270.10 / $12,147.11	Professional		$2,579.79	$7,270.10	$12,147.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,591.31 / $7,591.31 / $7,591.31	Professional		$7,591.31	$7,591.31	$7,591.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,784.45 / $10,070.57 / $10,070.57	Professional		$6,784.45	$10,070.57	$10,070.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,744.82 / $4,440.71 / $7,171.09	Professional		$1,744.82	$4,440.71	$7,171.09