Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.02 / $2,784.76 / $14,482.00	Facility		$1,502.02	$2,784.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.20 / $1,502.02 / $4,086.94	Professional		$1,310.20	$1,502.02	$4,086.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,523.00 / $18,603.00	Facility		$7,084.00	$11,523.00	$18,603.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,416.34 / $3,081.06 / $7,959.16	Professional		$1,416.34	$3,081.06	$7,959.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,482.83 / $4,069.96 / $6,243.42	Facility		$3,482.83	$4,069.96	$6,243.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,849.23 / $4,770.45 / $5,581.66	Professional		$1,849.23	$4,770.45	$5,581.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,368.69 / $1,732.74 / $2,951.00	Facility		$1,368.69	$1,732.74	$2,951.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,361.44 / $1,982.88 / $5,887.00	Facility		$1,361.44	$1,982.88	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,579.20 / $2,979.15 / $10,313.28	Professional		$1,579.20	$2,979.15	$10,313.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $953.00 / $2,963.49	Professional		$117.62	$953.00	$2,963.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,368.69 / $1,757.36 / $2,951.00	Facility		$1,368.69	$1,757.36	$2,951.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,577.00 / $3,436.86 / $5,646.69	Professional		$2,577.00	$3,436.86	$5,646.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,636.73 / $21,374.08 / $21,374.08	Facility		$1,636.73	$21,374.08	$21,374.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,236.08 / $6,770.80 / $10,313.28	Professional		$2,236.08	$6,770.80	$10,313.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,018.63 / $5,018.63 / $5,018.63	Professional		$5,018.63	$5,018.63	$5,018.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,694.43 / $6,815.23 / $6,815.23	Professional		$4,694.43	$6,815.23	$6,815.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $7,565.00 / $19,003.00	Facility		$2,480.00	$7,565.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,520.48 / $2,834.11 / $6,134.34	Professional		$1,520.48	$2,834.11	$6,134.34