Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.61 / $3,040.65 / $14,482.00	Facility		$1,491.61	$3,040.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,444.20 / $1,491.61 / $4,826.96	Professional		$1,444.20	$1,491.61	$4,826.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,415.49 / $3,776.40 / $10,074.95	Professional		$1,415.49	$3,776.40	$10,074.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,816.24 / $4,459.58 / $7,193.15	Facility		$3,816.24	$4,459.58	$7,193.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,912.94 / $4,599.60 / $6,134.71	Professional		$2,912.94	$4,599.60	$6,134.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,486.54 / $1,981.69 / $2,979.45	Facility		$1,486.54	$1,981.69	$2,979.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,491.61 / $2,803.00 / $7,700.00	Facility		$1,491.61	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,675.29 / $3,672.23 / $9,674.09	Professional		$1,675.29	$3,672.23	$9,674.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $1,024.89 / $3,218.29	Professional		$94.16	$1,024.89	$3,218.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,491.61 / $1,981.69 / $2,979.45	Facility		$1,491.61	$1,981.69	$2,979.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,015.35 / $4,639.00 / $5,826.35	Professional		$3,015.35	$4,639.00	$5,826.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,155.60 / $14,155.60 / $14,155.60	Facility		$14,155.60	$14,155.60	$14,155.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,190.47 / $12,672.22 / $12,672.22	Professional		$6,190.47	$12,672.22	$12,672.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,547.21 / $7,547.21 / $7,547.21	Professional		$7,547.21	$7,547.21	$7,547.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,892.73 / $8,697.35 / $8,697.35	Professional		$6,892.73	$8,697.35	$8,697.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,693.66 / $4,667.33 / $7,063.20	Professional		$1,693.66	$4,667.33	$7,063.20