Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,806.08 / $3,661.65 / $14,482.00	Facility		$1,806.08	$3,661.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,692.07 / $1,845.34 / $5,989.88	Professional		$1,692.07	$1,845.34	$5,989.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,152.00	Facility		$5,060.00	$7,979.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,769.18 / $4,689.47 / $12,215.70	Professional		$1,769.18	$4,689.47	$12,215.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,587.60 / $5,360.98 / $8,647.06	Facility		$4,587.60	$5,360.98	$8,647.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,424.82 / $5,562.35 / $7,340.18	Professional		$2,424.82	$5,562.35	$7,340.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,790.14 / $2,113.11 / $3,565.13	Facility		$1,790.14	$2,113.11	$3,565.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,790.14 / $2,803.00 / $7,700.00	Facility		$1,790.14	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,084.81 / $4,833.04 / $12,112.96	Professional		$2,084.81	$4,833.04	$12,112.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $1,484.44 / $3,849.05	Professional		$111.18	$1,484.44	$3,849.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,790.14 / $2,113.11 / $3,565.13	Facility		$1,790.14	$2,113.11	$3,565.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,492.45 / $5,392.88 / $7,295.19	Professional		$3,492.45	$5,392.88	$7,295.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,598.71 / $14,598.71 / $14,598.71	Facility		$14,598.71	$14,598.71	$14,598.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,478.77 / $8,787.35 / $13,333.20	Professional		$2,478.77	$8,787.35	$13,333.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,150.90 / $9,150.90 / $9,150.90	Professional		$9,150.90	$9,150.90	$9,150.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,553.35 / $10,517.79 / $10,517.79	Professional		$8,553.35	$10,517.79	$10,517.79
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 $1,992.48 / $5,051.52 / $8,608.61	Professional		$1,992.48	$5,051.52	$8,608.61