Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.63 / $3,514.97 / $14,482.00	Facility		$1,870.63	$3,514.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,567.73 / $1,870.63 / $6,567.42	Professional		$1,567.73	$1,870.63	$6,567.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,015.00 / $15,810.00	Facility		$6,538.00	$11,015.00	$15,810.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,626.64 / $4,616.60 / $9,479.54	Professional		$1,626.64	$4,616.60	$9,479.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,432.60 / $5,179.85 / $8,354.92	Facility		$4,432.60	$5,179.85	$8,354.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,577.65 / $5,095.89 / $7,029.50	Professional		$2,577.65	$5,095.89	$7,029.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,718.43 / $2,136.31 / $3,358.75	Facility		$1,718.43	$2,136.31	$3,358.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,718.43 / $2,803.00 / $7,700.00	Facility		$1,718.43	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,004.84 / $4,202.55 / $8,199.57	Professional		$2,004.84	$4,202.55	$8,199.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $1,465.07 / $3,868.82	Professional		$202.00	$1,465.07	$3,868.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,718.43 / $2,136.31 / $3,358.75	Facility		$1,718.43	$2,136.31	$3,358.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,578.90 / $5,193.68 / $6,509.74	Professional		$3,578.90	$5,193.68	$6,509.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,974.16 / $18,974.16 / $18,974.16	Facility		$18,974.16	$18,974.16	$18,974.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,657.45 / $8,405.10 / $13,112.00	Professional		$2,657.45	$8,405.10	$13,112.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,261.76 / $4,261.76 / $4,261.76	Professional		$4,261.76	$4,261.76	$4,261.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,226.72 / $9,309.29 / $9,309.29	Professional		$4,226.72	$9,309.29	$9,309.29
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 $1,910.22 / $4,353.14 / $7,367.07	Professional		$1,910.22	$4,353.14	$7,367.07