Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,718.30 / $3,272.96 / $14,482.00	Facility		$1,718.30	$3,272.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,615.26 / $1,718.30 / $5,351.34	Professional		$1,615.26	$1,718.30	$5,351.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,579.85 / $4,190.18 / $9,233.74	Professional		$1,579.85	$4,190.18	$9,233.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,101.89 / $4,793.39 / $7,731.57	Facility		$4,101.89	$4,793.39	$7,731.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,167.42 / $4,972.24 / $6,562.78	Professional		$2,167.42	$4,972.24	$6,562.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,718.30 / $2,275.90 / $5,579.42	Facility		$1,718.30	$2,275.90	$5,579.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,718.30 / $2,992.50 / $7,700.00	Facility		$1,718.30	$2,992.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,855.13 / $3,857.65 / $8,492.82	Professional		$1,855.13	$3,857.65	$8,492.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $1,320.86 / $3,446.10	Professional		$111.18	$1,320.86	$3,446.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,600.12 / $2,275.90 / $5,579.42	Facility		$1,600.12	$2,275.90	$5,579.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,120.65 / $4,818.76 / $5,676.22	Professional		$3,120.65	$4,818.76	$5,676.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,911.04 / $14,911.04 / $14,911.04	Facility		$14,911.04	$14,911.04	$14,911.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,215.79 / $7,846.45 / $11,913.92	Professional		$2,215.79	$7,846.45	$11,913.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,363.68 / $4,363.68 / $4,363.68	Professional		$4,363.68	$4,363.68	$4,363.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,410.14 / $7,698.05 / $7,698.05	Professional		$4,410.14	$7,698.05	$7,698.05
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 $1,819.15 / $4,727.53 / $7,671.79	Professional		$1,819.15	$4,727.53	$7,671.79