Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.26 / $3,555.36 / $14,482.00	Facility		$2,197.26	$3,555.36	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.04 / $2,197.26 / $7,227.15	Professional		$1,431.04	$2,197.26	$7,227.15
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 $1,749.86 / $4,271.71 / $11,139.96	Professional		$1,749.86	$4,271.71	$11,139.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,409.18 / $5,152.47 / $8,310.76	Facility		$4,409.18	$5,152.47	$8,310.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,002.30 / $5,363.16 / $7,585.40	Professional		$3,002.30	$5,363.16	$7,585.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,738.18 / $2,449.80 / $3,397.34	Facility		$1,738.18	$2,449.80	$3,397.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,021.44 / $3,150.00 / $7,700.00	Facility		$2,021.44	$3,150.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,167.31 / $5,716.92 / $10,292.29	Professional		$2,167.31	$5,716.92	$10,292.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,614.56 / $4,016.97	Professional		$145.52	$1,614.56	$4,016.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,738.18 / $2,449.80 / $3,397.34	Facility		$1,738.18	$2,449.80	$3,397.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,603.60 / $5,564.51 / $7,210.51	Professional		$3,603.60	$5,564.51	$7,210.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33,860.48 / $33,860.48 / $33,860.48	Facility		$33,860.48	$33,860.48	$33,860.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,078.65 / $8,848.79 / $13,276.16	Professional		$3,078.65	$8,848.79	$13,276.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,054.66 / $9,054.66 / $9,054.66	Professional		$9,054.66	$9,054.66	$9,054.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,970.90 / $12,018.01 / $12,018.01	Professional		$8,970.90	$12,018.01	$12,018.01
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 $2,120.48 / $6,168.61 / $8,602.44	Professional		$2,120.48	$6,168.61	$8,602.44