Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.15 / $3,075.41 / $14,482.00	Facility		$1,614.15	$3,075.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,516.92 / $1,614.15 / $5,026.37	Professional		$1,516.92	$1,614.15	$5,026.37
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 $1,484.32 / $3,935.60 / $8,546.08	Professional		$1,484.32	$3,935.60	$8,546.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,853.19 / $4,502.76 / $7,262.79	Facility		$3,853.19	$4,502.76	$7,262.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,036.61 / $4,671.18 / $6,166.21	Professional		$2,036.61	$4,671.18	$6,166.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,503.54 / $2,078.05 / $3,140.00	Facility		$1,503.54	$2,078.05	$3,140.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,614.15 / $2,938.73 / $7,700.00	Facility		$1,614.15	$2,938.73	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,758.71 / $3,624.11 / $7,979.23	Professional		$1,758.71	$3,624.11	$7,979.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $1,234.80 / $3,184.31	Professional		$111.18	$1,234.80	$3,184.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,614.15 / $2,109.60 / $3,140.00	Facility		$1,614.15	$2,109.60	$3,140.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,932.80 / $4,528.68 / $5,334.54	Professional		$2,932.80	$4,528.68	$5,334.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,761.43 / $15,761.43 / $15,761.43	Facility		$15,761.43	$15,761.43	$15,761.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,081.63 / $7,372.65 / $12,894.00	Professional		$2,081.63	$7,372.65	$12,894.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,099.93 / $4,099.93 / $4,099.93	Professional		$4,099.93	$4,099.93	$4,099.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,302.84 / $7,231.96 / $7,231.96	Professional		$4,302.84	$7,231.96	$7,231.96
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 $1,708.68 / $4,507.72 / $7,208.53	Professional		$1,708.68	$4,507.72	$7,208.53