Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,848.73 / $3,899.39 / $14,482.00	Facility		$1,848.73	$3,899.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,810.77 / $2,016.10 / $8,699.03	Professional		$1,810.77	$2,016.10	$8,699.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $33,604.00	Facility		$12,080.00	$18,175.43	$33,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,833.90 / $3,932.19 / $11,464.20	Professional		$1,833.90	$3,932.19	$11,464.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,895.79 / $5,721.11 / $8,776.33	Facility		$4,895.79	$5,721.11	$8,776.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,449.36 / $7,866.41 / $8,939.10	Professional		$2,449.36	$7,866.41	$8,939.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,848.73 / $2,588.21 / $4,225.14	Facility		$1,848.73	$2,588.21	$4,225.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,888.36 / $3,807.99 / $17,940.00	Facility		$1,888.36	$3,807.99	$17,940.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,959.32 / $3,591.78 / $14,438.08	Professional		$1,959.32	$3,591.78	$14,438.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,195.52 / $3,799.41	Professional		$200.71	$1,195.52	$3,799.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,848.73 / $2,588.21 / $4,225.14	Facility		$1,848.73	$2,588.21	$4,225.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,048.85 / $4,933.37 / $7,364.55	Professional		$4,048.85	$4,933.37	$7,364.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,888.66 / $32,888.66 / $32,888.66	Facility		$32,888.66	$32,888.66	$32,888.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,434.72 / $9,099.40 / $14,438.08	Professional		$3,434.72	$9,099.40	$14,438.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,117.17 / $6,117.17 / $6,117.17	Professional		$6,117.17	$6,117.17	$6,117.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,347.45 / $12,044.77 / $12,044.77	Professional		$7,347.45	$12,044.77	$12,044.77
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,919.23 / $3,600.71 / $8,732.33	Professional		$1,919.23	$3,600.71	$8,732.33