Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,638.69 / $3,035.86 / $14,482.00	Facility		$1,638.69	$3,035.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,432.08 / $1,638.69 / $4,482.39	Professional		$1,432.08	$1,638.69	$4,482.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,487.62 / $3,361.43 / $8,683.83	Professional		$1,487.62	$3,361.43	$8,683.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,789.21 / $4,427.99 / $6,792.65	Facility		$3,789.21	$4,427.99	$6,792.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,034.83 / $5,043.83 / $6,085.98	Professional		$2,034.83	$5,043.83	$6,085.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,496.54 / $2,039.24 / $3,189.99	Facility		$1,496.54	$2,039.24	$3,189.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,496.54 / $2,310.00 / $4,821.00	Facility		$1,496.54	$2,310.00	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,690.48 / $3,809.04 / $12,327.05	Professional		$1,690.48	$3,809.04	$12,327.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.36 / $1,367.48 / $3,288.52	Professional		$148.36	$1,367.48	$3,288.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,496.54 / $2,039.24 / $3,189.99	Facility		$1,496.54	$2,039.24	$3,189.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,817.00 / $3,756.94 / $6,156.89	Professional		$2,817.00	$3,756.94	$6,156.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,795.73 / $28,745.28 / $28,745.28	Facility		$1,795.73	$28,745.28	$28,745.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,652.87 / $7,418.65 / $12,327.05	Professional		$2,652.87	$7,418.65	$12,327.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,475.57 / $5,475.57 / $5,475.57	Professional		$5,475.57	$5,475.57	$5,475.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,031.57 / $7,431.01 / $7,431.01	Professional		$5,031.57	$7,431.01	$7,431.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,664.55 / $3,075.88 / $6,695.33	Professional		$1,664.55	$3,075.88	$6,695.33