Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,788.54 / $3,772.87 / $14,482.00	Facility		$1,788.54	$3,772.87	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,763.63 / $1,950.31 / $8,404.44	Professional		$1,763.63	$1,950.31	$8,404.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,771.76 / $4,127.39 / $11,297.65	Professional		$1,771.76	$4,127.39	$11,297.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,737.18 / $5,535.78 / $8,492.03	Facility		$4,737.18	$5,535.78	$8,492.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,672.82 / $7,586.42 / $8,648.03	Professional		$2,672.82	$7,586.42	$8,648.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,788.54 / $2,670.93 / $4,081.89	Facility		$1,788.54	$2,670.93	$4,081.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,827.27 / $3,685.40 / $16,976.00	Facility		$1,827.27	$3,685.40	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,038.70 / $3,717.37 / $13,963.92	Professional		$2,038.70	$3,717.37	$13,963.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,164.57 / $3,668.39	Professional		$200.71	$1,164.57	$3,668.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,788.54 / $2,670.93 / $4,081.89	Facility		$1,788.54	$2,670.93	$4,081.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,915.60 / $4,771.01 / $7,122.18	Professional		$3,915.60	$4,771.01	$7,122.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,990.68 / $24,990.68 / $24,990.68	Facility		$24,990.68	$24,990.68	$24,990.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,425.64 / $8,791.25 / $13,963.92	Professional		$3,425.64	$8,791.25	$13,963.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,915.39 / $5,915.39 / $5,915.39	Professional		$5,915.39	$5,915.39	$5,915.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,902.80 / $11,186.62 / $11,652.49	Professional		$4,902.80	$11,186.62	$11,652.49
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,038.70 / $3,717.37 / $8,052.79	Professional		$2,038.70	$3,717.37	$8,052.79