Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,856.01 / $3,004.90 / $14,482.00	Facility		$1,856.01	$3,004.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.23 / $1,856.01 / $4,870.59	Professional		$1,035.23	$1,856.01	$4,870.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,196.00 / $17,436.00	Facility		$6,538.00	$10,196.00	$17,436.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,466.24 / $3,324.20 / $8,707.57	Professional		$1,466.24	$3,324.20	$8,707.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,746.86 / $4,378.50 / $7,062.36	Facility		$3,746.86	$4,378.50	$7,062.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,537.46 / $4,519.93 / $6,024.00	Professional		$2,537.46	$4,519.93	$6,024.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,469.06 / $2,319.38 / $2,871.35	Facility		$1,469.06	$2,319.38	$2,871.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,683.67 / $2,826.00 / $7,700.00	Facility		$1,683.67	$2,826.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,759.86 / $4,459.39 / $8,604.96	Professional		$1,759.86	$4,459.39	$8,604.96
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 $1,469.06 / $2,319.38 / $2,871.35	Facility		$1,469.06	$2,319.38	$2,871.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,996.50 / $4,627.06 / $6,076.83	Professional		$2,996.50	$4,627.06	$6,076.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,216.32 / $28,216.32 / $28,216.32	Facility		$28,216.32	$28,216.32	$28,216.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,594.60 / $7,297.05 / $11,088.88	Professional		$2,594.60	$7,297.05	$11,088.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,632.11 / $7,632.11 / $7,632.11	Professional		$7,632.11	$7,632.11	$7,632.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,823.12 / $10,128.41 / $10,128.41	Professional		$6,823.12	$10,128.41	$10,128.41
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 $1,759.86 / $4,782.02 / $7,187.57	Professional		$1,759.86	$4,782.02	$7,187.57