Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,771.59 / $2,867.65 / $14,482.00	Facility		$1,771.59	$2,867.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $995.53 / $1,771.59 / $5,185.71	Professional		$995.53	$1,771.59	$5,185.71
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 $1,406.91 / $3,437.71 / $8,573.54	Professional		$1,406.91	$3,437.71	$8,573.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,558.52 / $4,158.42 / $6,707.38	Facility		$3,558.52	$4,158.42	$6,707.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,421.56 / $4,325.18 / $6,212.06	Professional		$2,421.56	$4,325.18	$6,212.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,401.96 / $2,231.77 / $3,165.86	Facility		$1,401.96	$2,231.77	$3,165.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,629.16 / $2,803.00 / $7,700.00	Facility		$1,629.16	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,745.39 / $4,647.66 / $8,288.64	Professional		$1,745.39	$4,647.66	$8,288.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $1,000.37 / $3,128.21	Professional		$97.62	$1,000.37	$3,128.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,401.96 / $2,231.77 / $3,165.86	Facility		$1,401.96	$2,231.77	$3,165.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,904.20 / $4,484.53 / $5,814.99	Professional		$2,904.20	$4,484.53	$5,814.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,291.68 / $27,291.68 / $27,291.68	Facility		$27,291.68	$27,291.68	$27,291.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,482.81 / $7,028.80 / $10,700.08	Professional		$2,482.81	$7,028.80	$10,700.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,296.43 / $7,296.43 / $7,296.43	Professional		$7,296.43	$7,296.43	$7,296.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,511.47 / $9,691.99 / $9,691.99	Professional		$6,511.47	$9,691.99	$9,691.99
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 $1,706.87 / $4,278.35 / $6,926.44	Professional		$1,706.87	$4,278.35	$6,926.44