Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.03 / $2,965.28 / $14,482.00	Facility		$1,600.03	$2,965.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.86 / $1,600.03 / $4,356.75	Professional		$1,395.86	$1,600.03	$4,356.75
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 $1,443.77 / $3,282.12 / $8,477.73	Professional		$1,443.77	$3,282.12	$8,477.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,707.21 / $4,332.17 / $6,645.65	Facility		$3,707.21	$4,332.17	$6,645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $5,085.95 / $5,942.98	Professional		$1,944.00	$5,085.95	$5,942.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,458.45 / $1,845.06 / $3,145.00	Facility		$1,458.45	$1,845.06	$3,145.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,449.69 / $2,068.60 / $5,887.00	Facility		$1,449.69	$2,068.60	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,707.03 / $3,227.51 / $10,984.16	Professional		$1,707.03	$3,227.51	$10,984.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $1,010.68 / $3,119.77	Professional		$117.62	$1,010.68	$3,119.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,458.45 / $1,845.06 / $3,145.00	Facility		$1,458.45	$1,845.06	$3,145.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,745.60 / $3,661.72 / $6,012.22	Professional		$2,745.60	$3,661.72	$6,012.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,744.15 / $22,763.39 / $22,763.39	Facility		$1,744.15	$22,763.39	$22,763.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,413.17 / $7,218.60 / $10,984.16	Professional		$2,413.17	$7,218.60	$10,984.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,345.64 / $5,345.64 / $5,345.64	Professional		$5,345.64	$5,345.64	$5,345.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,055.07 / $7,256.39 / $7,256.39	Professional		$5,055.07	$7,256.39	$7,256.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $7,978.00 / $19,003.00	Facility		$2,480.00	$7,978.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,595.61 / $3,037.82 / $6,514.79	Professional		$1,595.61	$3,037.82	$6,514.79