Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.48 / $3,585.06 / $14,482.00	Facility		$1,462.48	$3,585.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,337.40 / $1,537.08 / $6,056.49	Professional		$1,337.40	$1,537.08	$6,056.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,444.00 / $20,227.00	Facility		$8,712.00	$12,444.00	$20,227.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,711.53 / $4,372.57 / $8,098.45	Professional		$1,711.53	$4,372.57	$8,098.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,511.01 / $5,271.47 / $8,502.69	Facility		$4,511.01	$5,271.47	$8,502.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,186.72 / $4,443.99 / $7,241.39	Professional		$3,186.72	$4,443.99	$7,241.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,462.48 / $2,396.14 / $6,481.38	Facility		$1,462.48	$2,396.14	$6,481.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,752.70 / $5,266.00 / $14,978.00	Facility		$1,752.70	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,030.66 / $4,644.41 / $8,355.00	Professional		$2,030.66	$4,644.41	$8,355.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.95 / $1,066.29 / $3,451.89	Professional		$158.95	$1,066.29	$3,451.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,462.48 / $2,396.14 / $6,481.38	Facility		$1,462.48	$2,396.14	$6,481.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,476.20 / $4,930.74 / $6,322.94	Professional		$3,476.20	$4,930.74	$6,322.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,340.86 / $12,340.86 / $12,340.86	Facility		$12,340.86	$12,340.86	$12,340.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,343.93 / $8,523.79 / $23,475.40	Professional		$3,343.93	$8,523.79	$23,475.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,224.67 / $3,224.67 / $3,224.67	Professional		$3,224.67	$3,224.67	$3,224.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,241.93 / $7,389.90 / $7,389.90	Professional		$3,241.93	$7,389.90	$7,389.90
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 $1,986.73 / $4,198.97 / $7,074.75	Professional		$1,986.73	$4,198.97	$7,074.75