Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,929.02 / $3,122.44 / $14,482.00	Facility		$1,929.02	$3,122.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.29 / $1,929.02 / $5,838.56	Professional		$1,147.29	$1,929.02	$5,838.56
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 $1,533.99 / $3,746.41 / $9,338.94	Professional		$1,533.99	$3,746.41	$9,338.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,872.11 / $4,524.87 / $7,298.45	Facility		$3,872.11	$4,524.87	$7,298.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,636.73 / $4,708.10 / $6,209.59	Professional		$2,636.73	$4,708.10	$6,209.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,526.53 / $2,147.59 / $3,001.49	Facility		$1,526.53	$2,147.59	$3,001.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $3,001.49 / $7,868.00	Facility		$1,716.00	$3,001.49	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,860.90 / $4,933.53 / $9,030.28	Professional		$1,860.90	$4,933.53	$9,030.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,105.49 / $3,449.22	Professional		$112.28	$1,105.49	$3,449.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,526.53 / $2,147.59 / $3,001.49	Facility		$1,526.53	$2,147.59	$3,001.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,163.55 / $4,885.01 / $6,329.81	Professional		$3,163.55	$4,885.01	$6,329.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,708.48 / $29,708.48 / $29,708.48	Facility		$29,708.48	$29,708.48	$29,708.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,702.61 / $7,662.15 / $16,656.09	Professional		$2,702.61	$7,662.15	$16,656.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,947.81 / $7,947.81 / $7,947.81	Professional		$7,947.81	$7,947.81	$7,947.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,226.89 / $10,550.04 / $10,550.04	Professional		$7,226.89	$10,550.04	$10,550.04
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 $1,860.90 / $4,970.12 / $7,885.37	Professional		$1,860.90	$4,970.12	$7,885.37