Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,984.19 / $9,245.00 / $17,823.00	Facility		$1,984.19	$9,245.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.70 / $1,789.67 / $4,150.67	Professional		$1,403.70	$1,789.67	$4,150.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,312.21 / $2,561.86 / $7,146.40	Professional		$1,312.21	$2,561.86	$7,146.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,491.84 / $4,080.49 / $6,581.69	Facility		$3,491.84	$4,080.49	$6,581.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,588.98 / $3,193.58 / $6,432.78	Professional		$1,588.98	$3,193.58	$6,432.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,280.52 / $1,939.66 / $2,615.16	Facility		$1,280.52	$1,939.66	$2,615.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,454.75 / $7,590.00 / $15,702.00	Facility		$1,454.75	$7,590.00	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,414.04 / $2,845.16 / $10,520.24	Professional		$1,414.04	$2,845.16	$10,520.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $721.37 / $2,166.25	Professional		$123.62	$721.37	$2,166.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,280.52 / $1,879.05 / $2,692.17	Facility		$1,280.52	$1,879.05	$2,692.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,356.19 / $3,110.18 / $4,642.89	Professional		$2,356.19	$3,110.18	$4,642.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,907.95 / $14,907.95 / $14,907.95	Facility		$14,907.95	$14,907.95	$14,907.95
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,413.06 / $1,413.06 / $1,413.06	Facility	AS	$1,413.06	$1,413.06	$1,413.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,096.90 / $6,880.74 / $11,366.67	Professional		$2,096.90	$6,880.74	$11,366.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,952.73 / $9,412.00 / $12,839.86	Professional		$2,952.73	$9,412.00	$12,839.86
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,303.98 / $4,149.20 / $9,609.65	Professional		$1,303.98	$4,149.20	$9,609.65