Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,838.74 / $2,976.41 / $14,482.00	Facility		$1,838.74	$2,976.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.73 / $1,838.74 / $5,591.27	Professional		$1,079.73	$1,838.74	$5,591.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,556.62 / $3,293.26 / $8,649.27	Professional		$1,556.62	$3,293.26	$8,649.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,690.99 / $4,313.21 / $6,957.06	Facility		$3,690.99	$4,313.21	$6,957.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,513.41 / $4,487.68 / $6,596.83	Professional		$2,513.41	$4,487.68	$6,596.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,455.14 / $2,260.80 / $2,844.13	Facility		$1,455.14	$2,260.80	$2,844.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,691.78 / $2,803.00 / $7,700.00	Facility		$1,691.78	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,812.60 / $4,867.58 / $8,655.58	Professional		$1,812.60	$4,867.58	$8,655.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $1,045.80 / $3,296.13	Professional		$97.62	$1,045.80	$3,296.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,455.14 / $2,260.80 / $2,844.13	Facility		$1,455.14	$2,260.80	$2,844.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,016.00 / $4,657.17 / $6,033.49	Professional		$3,016.00	$4,657.17	$6,033.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,318.88 / $28,318.88 / $28,318.88	Facility		$28,318.88	$28,318.88	$28,318.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,576.10 / $7,299.45 / $11,104.24	Professional		$2,576.10	$7,299.45	$11,104.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,575.79 / $7,575.79 / $7,575.79	Professional		$7,575.79	$7,575.79	$7,575.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,552.75 / $10,056.17 / $10,056.17	Professional		$3,552.75	$10,056.17	$10,056.17
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 $1,802.44 / $4,737.49 / $7,471.60	Professional		$1,802.44	$4,737.49	$7,471.60