Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,888.63 / $3,057.44 / $14,482.00	Facility		$1,888.63	$3,057.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.63 / $1,888.63 / $5,852.63	Professional		$1,158.63	$1,888.63	$5,852.63
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 $1,502.15 / $3,666.58 / $9,230.73	Professional		$1,502.15	$3,666.58	$9,230.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,791.91 / $4,431.14 / $7,147.29	Facility		$3,791.91	$4,431.14	$7,147.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,581.83 / $4,610.00 / $6,661.83	Professional		$2,581.83	$4,610.00	$6,661.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,494.75 / $2,379.52 / $3,386.93	Facility		$1,494.75	$2,379.52	$3,386.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,738.02 / $2,921.55 / $7,700.00	Facility		$1,738.02	$2,921.55	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,861.75 / $4,972.72 / $9,254.90	Professional		$1,861.75	$4,972.72	$9,254.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,073.30 / $3,372.67	Professional		$112.28	$1,073.30	$3,372.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,494.75 / $2,379.52 / $3,386.93	Facility		$1,494.75	$2,379.52	$3,386.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,098.55 / $4,784.64 / $6,197.92	Professional		$3,098.55	$4,784.64	$6,197.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,090.08 / $29,090.08 / $29,090.08	Facility		$29,090.08	$29,090.08	$29,090.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,646.30 / $7,643.31 / $11,406.40	Professional		$2,646.30	$7,643.31	$11,406.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,782.77 / $7,782.77 / $7,782.77	Professional		$7,782.77	$7,782.77	$7,782.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,336.76 / $10,330.25 / $10,330.25	Professional		$7,336.76	$10,330.25	$10,330.25
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 $1,724.07 / $4,866.02 / $8,081.51	Professional		$1,724.07	$4,866.02	$8,081.51