Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.68 / $3,432.42 / $14,482.00	Facility		$1,535.68	$3,432.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,535.68 / $1,626.72 / $5,995.85	Professional		$1,535.68	$1,626.72	$5,995.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $10,038.00	Facility		$2,740.00	$4,780.00	$10,038.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.88 / $4,615.38 / $12,455.12	Professional		$1,621.88	$4,615.38	$12,455.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,307.35 / $5,033.47 / $8,118.83	Facility		$4,307.35	$5,033.47	$8,118.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,051.03 / $6,455.91 / $7,336.26	Professional		$3,051.03	$6,455.91	$7,336.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,535.68 / $2,270.63 / $3,279.87	Facility		$1,535.68	$2,270.63	$3,279.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,678.07 / $5,266.00 / $14,978.00	Facility		$1,678.07	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,939.87 / $4,198.95 / $12,407.75	Professional		$1,939.87	$4,198.95	$12,407.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.57 / $1,134.91 / $3,652.02	Professional		$159.57	$1,134.91	$3,652.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,535.68 / $2,270.63 / $3,279.87	Facility		$1,535.68	$2,270.63	$3,279.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,572.40 / $5,496.00 / $7,283.29	Professional		$3,572.40	$5,496.00	$7,283.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,868.92 / $24,868.92 / $24,868.92	Facility		$24,868.92	$24,868.92	$24,868.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,243.41 / $8,040.90 / $12,731.92	Professional		$3,243.41	$8,040.90	$12,731.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,777.87 / $5,777.87 / $5,777.87	Professional		$5,777.87	$5,777.87	$5,777.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,603.23 / $9,667.12 / $9,667.12	Professional		$5,603.23	$9,667.12	$9,667.12
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,868.00 / $4,946.38 / $8,127.10	Professional		$1,868.00	$4,946.38	$8,127.10