Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.01 / $2,791.01 / $14,482.00	Facility		$1,501.01	$2,791.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.32 / $1,501.01 / $4,060.64	Professional		$1,310.32	$1,501.01	$4,060.64
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 $1,348.54 / $3,079.00 / $7,936.52	Professional		$1,348.54	$3,079.00	$7,936.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,491.84 / $4,080.49 / $6,259.58	Facility		$3,491.84	$4,080.49	$6,259.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,587.49 / $4,655.47 / $5,587.25	Professional		$1,587.49	$4,655.47	$5,587.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,338.02 / $1,674.61 / $2,709.52	Facility		$1,338.02	$1,674.61	$2,709.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,332.23 / $1,887.96 / $4,821.00	Facility		$1,332.23	$1,887.96	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,506.38 / $3,377.14 / $10,307.12	Professional		$1,506.38	$3,377.14	$10,307.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $976.41 / $2,990.51	Professional		$117.62	$976.41	$2,990.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,338.02 / $1,685.30 / $2,709.52	Facility		$1,338.02	$1,685.30	$2,709.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,577.00 / $3,436.86 / $5,652.35	Professional		$2,577.00	$3,436.86	$5,652.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,630.92 / $26,294.08 / $26,294.08	Facility		$1,630.92	$26,294.08	$26,294.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,407.87 / $6,733.30 / $10,307.12	Professional		$2,407.87	$6,733.30	$10,307.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,004.38 / $5,004.38 / $5,004.38	Professional		$5,004.38	$5,004.38	$5,004.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,538.93 / $6,822.05 / $6,822.05	Professional		$4,538.93	$6,822.05	$6,822.05
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 $1,451.44 / $2,848.74 / $6,100.37	Professional		$1,451.44	$2,848.74	$6,100.37