Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,776.59 / $3,331.89 / $14,482.00	Facility		$1,776.59	$3,331.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,447.00 / $1,776.59 / $5,678.64	Professional		$1,447.00	$1,776.59	$5,678.64
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 $1,674.24 / $4,445.18 / $9,028.29	Professional		$1,674.24	$4,445.18	$9,028.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,211.83 / $4,921.85 / $7,938.79	Facility		$4,211.83	$4,921.85	$7,938.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,443.39 / $4,827.18 / $6,684.47	Professional		$2,443.39	$4,827.18	$6,684.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,628.92 / $1,777.01 / $3,183.81	Facility		$1,628.92	$1,777.01	$3,183.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $3,183.81 / $7,700.00	Facility		$1,716.00	$3,183.81	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,832.76 / $4,171.18 / $7,748.04	Professional		$1,832.76	$4,171.18	$7,748.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $1,289.49 / $3,422.39	Professional		$202.00	$1,289.49	$3,422.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,628.92 / $1,777.01 / $3,183.81	Facility		$1,628.92	$1,777.01	$3,183.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,232.45 / $4,991.39 / $5,879.58	Professional		$3,232.45	$4,991.39	$5,879.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,402.75 / $17,402.75 / $17,402.75	Facility		$17,402.75	$17,402.75	$17,402.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,517.30 / $8,342.35 / $14,703.08	Professional		$2,517.30	$8,342.35	$14,703.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,058.89 / $4,058.89 / $4,058.89	Professional		$4,058.89	$4,058.89	$4,058.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,063.03 / $8,818.35 / $8,818.35	Professional		$4,063.03	$8,818.35	$8,818.35
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 $1,930.42 / $4,498.18 / $7,691.73	Professional		$1,930.42	$4,498.18	$7,691.73