Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,742.91 / $3,665.59 / $14,482.00	Facility		$1,742.91	$3,665.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,700.13 / $1,812.59 / $8,269.96	Professional		$1,700.13	$1,812.59	$8,269.96
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 $1,731.62 / $4,022.10 / $10,266.82	Professional		$1,731.62	$4,022.10	$10,266.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,614.64 / $5,392.57 / $8,272.34	Facility		$4,614.64	$5,392.57	$8,272.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,851.01 / $7,104.36 / $8,073.14	Professional		$2,851.01	$7,104.36	$8,073.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,742.91 / $2,418.67 / $3,851.83	Facility		$1,742.91	$2,418.67	$3,851.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,742.91 / $3,594.46 / $14,270.00	Facility		$1,742.91	$3,594.46	$14,270.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,064.37 / $3,892.77 / $18,361.93	Professional		$2,064.37	$3,892.77	$18,361.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,079.44 / $3,432.12	Professional		$200.71	$1,079.44	$3,432.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,742.91 / $2,418.67 / $3,851.83	Facility		$1,742.91	$2,418.67	$3,851.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,579.55 / $4,361.54 / $6,510.93	Professional		$3,579.55	$4,361.54	$6,510.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,811.02 / $14,811.02 / $14,811.02	Facility		$14,811.02	$14,811.02	$14,811.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,323.82 / $8,650.60 / $18,361.93	Professional		$3,323.82	$8,650.60	$18,361.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,773.67 / $5,773.67 / $5,773.67	Professional		$5,773.67	$5,773.67	$5,773.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,908.03 / $9,078.48 / $11,306.21	Professional		$3,908.03	$9,078.48	$11,306.21
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 $1,991.44 / $3,653.16 / $7,872.05	Professional		$1,991.44	$3,653.16	$7,872.05