Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,717.97 / $3,836.29 / $14,482.00	Facility		$1,717.97	$3,836.29	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,717.97 / $1,817.60 / $6,831.15	Professional		$1,717.97	$1,817.60	$6,831.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,834.11 / $5,173.08 / $13,919.63	Professional		$1,834.11	$5,173.08	$13,919.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,805.67 / $5,615.81 / $9,058.10	Facility		$4,805.67	$5,615.81	$9,058.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,410.04 / $7,215.01 / $8,198.87	Professional		$3,410.04	$7,215.01	$8,198.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,717.97 / $2,567.75 / $3,735.97	Facility		$1,717.97	$2,567.75	$3,735.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,766.90 / $3,328.40 / $7,700.00	Facility		$1,766.90	$3,328.40	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,185.30 / $4,938.58 / $13,956.77	Professional		$2,185.30	$4,938.58	$13,956.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $1,270.85 / $4,048.42	Professional		$174.52	$1,270.85	$4,048.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,717.97 / $2,567.75 / $3,735.97	Facility		$1,717.97	$2,567.75	$3,735.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,006.60 / $6,164.00 / $8,207.67	Professional		$4,006.60	$6,164.00	$8,207.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,859.80 / $27,859.80 / $27,859.80	Facility		$27,859.80	$27,859.80	$27,859.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,624.78 / $9,044.75 / $14,256.32	Professional		$3,624.78	$9,044.75	$14,256.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,467.12 / $6,467.12 / $6,467.12	Professional		$6,467.12	$6,467.12	$6,467.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,262.54 / $10,803.83 / $10,803.83	Professional		$6,262.54	$10,803.83	$10,803.83
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 $1,994.29 / $5,570.01 / $10,003.31	Professional		$1,994.29	$5,570.01	$10,003.31