Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,685.07 / $3,138.46 / $14,482.00	Facility		$1,685.07	$3,138.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,433.11 / $1,685.07 / $3,138.46	Professional		$1,433.11	$1,685.07	$3,138.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,493.16 / $3,456.55 / $8,904.93	Professional		$1,493.16	$3,456.55	$8,904.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,931.59 / $4,594.37 / $7,047.88	Facility		$3,931.59	$4,594.37	$7,047.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,769.87 / $5,251.75 / $6,271.34	Professional		$1,769.87	$5,251.75	$6,271.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,522.75 / $1,969.11 / $3,255.00	Facility		$1,522.75	$1,969.11	$3,255.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,500.82 / $2,186.06 / $4,821.00	Facility		$1,500.82	$2,186.06	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,647.62 / $3,650.41 / $12,046.47	Professional		$1,647.62	$3,650.41	$12,046.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.44 / $1,082.84 / $3,302.97	Professional		$125.44	$1,082.84	$3,302.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,522.75 / $1,952.82 / $3,255.00	Facility		$1,522.75	$1,952.82	$3,255.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,896.20 / $3,862.57 / $6,344.41	Professional		$2,896.20	$3,862.57	$6,344.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,821.35 / $14,751.52 / $14,751.52	Facility		$1,821.35	$14,751.52	$14,751.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,680.01 / $7,489.20 / $12,046.47	Professional		$2,680.01	$7,489.20	$12,046.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,615.00 / $5,615.00 / $5,615.00	Professional		$5,615.00	$5,615.00	$5,615.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,070.35 / $7,657.32 / $7,657.32	Professional		$5,070.35	$7,657.32	$7,657.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,605.50 / $3,142.92 / $6,759.00	Professional		$1,605.50	$3,142.92	$6,759.00