Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.30 / $4,119.14 / $14,482.00	Facility		$1,961.30	$4,119.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,929.96 / $2,036.75 / $9,349.20	Professional		$1,929.96	$2,036.75	$9,349.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,963.85 / $4,526.07 / $12,127.33	Professional		$1,963.85	$4,526.07	$12,127.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,179.64 / $6,052.82 / $9,285.18	Facility		$5,179.64	$6,052.82	$9,285.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,203.79 / $7,987.16 / $9,076.31	Professional		$3,203.79	$7,987.16	$9,076.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,961.30 / $2,644.76 / $4,334.47	Facility		$1,961.30	$2,644.76	$4,334.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,961.30 / $4,033.16 / $14,270.00	Facility		$1,961.30	$4,033.16	$14,270.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,336.36 / $4,400.78 / $19,192.43	Professional		$2,336.36	$4,400.78	$19,192.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,232.79 / $3,891.23	Professional		$200.71	$1,232.79	$3,891.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,961.30 / $2,644.76 / $4,334.47	Facility		$1,961.30	$2,644.76	$4,334.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,028.05 / $4,908.02 / $7,326.71	Professional		$4,028.05	$4,908.02	$7,326.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,669.73 / $16,669.73 / $16,669.73	Facility		$16,669.73	$16,669.73	$16,669.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,736.84 / $9,779.50 / $19,192.43	Professional		$3,736.84	$9,779.50	$19,192.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,504.79 / $6,504.79 / $6,504.79	Professional		$6,504.79	$6,504.79	$6,504.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,979.08 / $10,026.29 / $12,711.05	Professional		$3,979.08	$10,026.29	$12,711.05
United Facility/Professional Facility Modifier Low / Median / High Price $8,967.00 / $13,752.00 / $17,327.00	Facility		$8,967.00	$13,752.00	$17,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,264.03 / $4,137.27 / $9,599.07	Professional		$2,264.03	$4,137.27	$9,599.07