Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,854.06 / $2,994.97 / $14,482.00	Facility		$1,854.06	$2,994.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.68 / $1,854.06 / $2,994.97	Professional		$1,248.68	$1,854.06	$2,994.97
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 $1,803.60 / $3,618.14 / $9,435.54	Professional		$1,803.60	$3,618.14	$9,435.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,731.54 / $4,360.60 / $7,033.49	Facility		$3,731.54	$4,360.60	$7,033.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,529.09 / $4,513.25 / $5,988.03	Professional		$2,529.09	$4,513.25	$5,988.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,464.21 / $2,322.46 / $2,894.52	Facility		$1,464.21	$2,322.46	$2,894.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,683.68 / $2,894.52 / $7,868.00	Facility		$1,683.68	$2,894.52	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,911.12 / $5,235.58 / $8,812.27	Professional		$1,911.12	$5,235.58	$8,812.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,983.82 / $3,844.42	Professional		$85.00	$1,983.82	$3,844.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,464.21 / $2,322.46 / $2,894.52	Facility		$1,464.21	$2,322.46	$2,894.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,997.15 / $4,628.06 / $6,067.84	Professional		$2,997.15	$4,628.06	$6,067.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,224.16 / $28,224.16 / $28,224.16	Facility		$28,224.16	$28,224.16	$28,224.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,590.77 / $7,350.45 / $11,095.28	Professional		$2,590.77	$7,350.45	$11,095.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,650.01 / $7,650.01 / $7,650.01	Professional		$7,650.01	$7,650.01	$7,650.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,113.48 / $10,113.48 / $10,113.48	Professional		$10,113.48	$10,113.48	$10,113.48
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 $1,775.62 / $4,958.03 / $7,523.80	Professional		$1,775.62	$4,958.03	$7,523.80