Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.92 / $2,982.65 / $14,482.00	Facility		$1,827.92	$2,982.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.41 / $1,827.92 / $5,175.18	Professional		$1,010.41	$1,827.92	$5,175.18
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 $1,452.14 / $3,580.00 / $8,868.09	Professional		$1,452.14	$3,580.00	$8,868.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,721.63 / $4,349.01 / $7,014.81	Facility		$3,721.63	$4,349.01	$7,014.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,518.67 / $4,489.97 / $6,062.63	Professional		$2,518.67	$4,489.97	$6,062.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,458.18 / $2,284.17 / $3,193.72	Facility		$1,458.18	$2,284.17	$3,193.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,668.61 / $2,923.03 / $7,700.00	Facility		$1,668.61	$2,923.03	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,759.27 / $4,444.99 / $8,534.87	Professional		$1,759.27	$4,444.99	$8,534.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $1,045.34 / $3,264.43	Professional		$94.67	$1,045.34	$3,264.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,458.18 / $2,284.17 / $3,193.72	Facility		$1,458.18	$2,284.17	$3,193.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,968.55 / $4,583.89 / $6,036.56	Professional		$2,968.55	$4,583.89	$6,036.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,035.04 / $28,035.04 / $28,035.04	Facility		$28,035.04	$28,035.04	$28,035.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,577.40 / $7,237.60 / $11,016.64	Professional		$2,577.40	$7,237.60	$11,016.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,547.09 / $7,547.09 / $7,547.09	Professional		$7,547.09	$7,547.09	$7,547.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,772.59 / $10,061.29 / $10,061.29	Professional		$6,772.59	$10,061.29	$10,061.29
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 $1,737.02 / $4,444.99 / $7,118.18	Professional		$1,737.02	$4,444.99	$7,118.18