Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,964.98 / $4,128.21 / $14,482.00	Facility		$1,964.98	$4,128.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,894.23 / $2,041.22 / $9,365.60	Professional		$1,894.23	$2,041.22	$9,365.60
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 $1,967.30 / $4,534.57 / $11,588.78	Professional		$1,967.30	$4,534.57	$11,588.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,191.35 / $6,066.51 / $9,306.18	Facility		$5,191.35	$6,066.51	$9,306.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,210.83 / $8,003.49 / $9,094.87	Professional		$3,210.83	$8,003.49	$9,094.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,964.98 / $2,648.87 / $4,342.60	Facility		$1,964.98	$2,648.87	$4,342.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,964.98 / $4,042.43 / $14,270.00	Facility		$1,964.98	$4,042.43	$14,270.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,340.29 / $4,408.49 / $18,246.50	Professional		$2,340.29	$4,408.49	$18,246.50
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 $1,964.98 / $2,648.87 / $4,342.60	Facility		$1,964.98	$2,648.87	$4,342.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,036.50 / $4,918.32 / $7,342.08	Professional		$4,036.50	$4,918.32	$7,342.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,702.70 / $16,702.70 / $16,702.70	Facility		$16,702.70	$16,702.70	$16,702.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,744.48 / $9,796.65 / $18,246.50	Professional		$3,744.48	$9,796.65	$18,246.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,517.08 / $6,517.08 / $6,517.08	Professional		$6,517.08	$6,517.08	$6,517.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,547.52 / $10,331.12 / $12,737.06	Professional		$4,547.52	$10,331.12	$12,737.06
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,289.26 / $4,144.52 / $8,914.95	Professional		$2,289.26	$4,144.52	$8,914.95