Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,689.99 / $3,554.42 / $14,482.00	Facility		$1,689.99	$3,554.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,628.48 / $1,757.90 / $8,053.11	Professional		$1,628.48	$1,757.90	$8,053.11
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 $1,691.38 / $3,899.97 / $9,960.11	Professional		$1,691.38	$3,899.97	$9,960.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,470.46 / $5,224.08 / $8,013.88	Facility		$4,470.46	$5,224.08	$8,013.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.03 / $6,887.46 / $7,826.66	Professional		$2,191.03	$6,887.46	$7,826.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,579.74 / $2,022.07 / $3,604.53	Facility		$1,579.74	$2,022.07	$3,604.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,610.23 / $2,881.31 / $14,246.00	Facility		$1,610.23	$2,881.31	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,342.30 / $3,383.30 / $12,931.52	Professional		$1,342.30	$3,383.30	$12,931.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,045.56 / $3,292.92	Professional		$200.71	$1,045.56	$3,292.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,579.74 / $1,977.29 / $3,604.53	Facility		$1,579.74	$1,977.29	$3,604.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,474.90 / $4,234.03 / $6,320.58	Professional		$3,474.90	$4,234.03	$6,320.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,315.30 / $12,315.30 / $12,315.30	Facility		$12,315.30	$12,315.30	$12,315.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,222.34 / $8,423.75 / $12,931.52	Professional		$3,222.34	$8,423.75	$12,931.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,601.18 / $5,601.18 / $5,601.18	Professional		$5,601.18	$5,601.18	$5,601.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,728.51 / $8,636.99 / $10,960.96	Professional		$2,728.51	$8,636.99	$10,960.96
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 $1,524.35 / $3,277.30 / $7,665.61	Professional		$1,524.35	$3,277.30	$7,665.61