Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.85 / $3,511.91 / $14,482.00	Facility		$1,690.85	$3,511.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,626.16 / $1,736.84 / $6,259.01	Professional		$1,626.16	$1,736.84	$6,259.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $37,855.00	Facility		$11,499.00	$16,401.00	$37,855.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,686.13 / $3,695.93 / $10,447.27	Professional		$1,686.13	$3,695.93	$10,447.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,413.68 / $5,157.74 / $7,912.11	Facility		$4,413.68	$5,157.74	$7,912.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,494.26 / $7,072.69 / $8,037.15	Professional		$2,494.26	$7,072.69	$8,037.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,690.85 / $2,233.51 / $3,736.78	Facility		$1,690.85	$2,233.51	$3,736.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,690.85 / $3,439.12 / $17,940.00	Facility		$1,690.85	$3,439.12	$17,940.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,851.40 / $3,386.73 / $13,625.14	Professional		$1,851.40	$3,386.73	$13,625.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,034.78 / $3,269.08	Professional		$200.71	$1,034.78	$3,269.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,690.85 / $2,233.51 / $3,736.78	Facility		$1,690.85	$2,233.51	$3,736.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,434.60 / $4,184.93 / $6,247.27	Professional		$3,434.60	$4,184.93	$6,247.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,257.40 / $18,257.40 / $18,257.40	Facility		$18,257.40	$18,257.40	$18,257.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,088.15 / $8,424.70 / $13,625.14	Professional		$3,088.15	$8,424.70	$13,625.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,603.65 / $5,603.65 / $5,603.65	Professional		$5,603.65	$5,603.65	$5,603.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,263.30 / $8,636.87 / $10,829.42	Professional		$4,263.30	$8,636.87	$10,829.42
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 $1,805.81 / $3,456.75 / $7,413.74	Professional		$1,805.81	$3,456.75	$7,413.74