Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.05 / $2,376.14 / $14,482.00	Facility		$1,059.05	$2,376.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.05 / $1,087.34 / $3,989.25	Professional		$1,059.05	$1,087.34	$3,989.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $13,906.00 / $22,165.00	Facility		$1,979.00	$13,906.00	$22,165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,105.34 / $3,121.80 / $8,608.74	Professional		$1,105.34	$3,121.80	$8,608.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,986.31 / $3,489.74 / $5,628.83	Facility		$2,986.31	$3,489.74	$5,628.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,112.13 / $4,462.21 / $5,070.68	Professional		$2,112.13	$4,462.21	$5,070.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,059.05 / $1,547.49 / $2,325.14	Facility		$1,059.05	$1,547.49	$2,325.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,084.63 / $2,781.00 / $6,150.00	Facility		$1,084.63	$2,781.00	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,323.19 / $3,006.56 / $8,485.24	Professional		$1,323.19	$3,006.56	$8,485.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $1,006.38 / $2,662.17	Professional		$137.33	$1,006.38	$2,662.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,059.05 / $1,547.49 / $2,325.14	Facility		$1,059.05	$1,547.49	$2,325.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,457.00 / $3,780.00 / $4,977.17	Professional		$2,457.00	$3,780.00	$4,977.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,254.40 / $14,254.40 / $14,254.40	Facility		$14,254.40	$14,254.40	$14,254.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,241.78 / $5,498.90 / $9,567.99	Professional		$2,241.78	$5,498.90	$9,567.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,976.19 / $3,976.19 / $3,976.19	Professional		$3,976.19	$3,976.19	$3,976.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,878.91 / $6,681.74 / $6,681.74	Professional		$3,878.91	$6,681.74	$6,681.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,319.74 / $3,379.64 / $5,557.85	Professional		$1,319.74	$3,379.64	$5,557.85