Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.77 / $3,116.00 / $14,482.00	Facility		$1,479.77	$3,116.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,424.32 / $1,540.72 / $7,029.32	Professional		$1,424.32	$1,540.72	$7,029.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,477.22 / $3,414.84 / $8,713.69	Professional		$1,477.22	$3,414.84	$8,713.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,921.67 / $4,582.79 / $7,030.11	Facility		$3,921.67	$4,582.79	$7,030.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,216.84 / $6,035.70 / $6,858.75	Professional		$2,216.84	$6,035.70	$6,858.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.77 / $1,995.00 / $3,270.29	Facility		$1,479.77	$1,995.00	$3,270.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.77 / $2,521.73 / $11,100.00	Facility		$1,479.77	$2,521.73	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,688.92 / $2,993.32 / $11,320.72	Professional		$1,688.92	$2,993.32	$11,320.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $922.38 / $2,936.17	Professional		$126.60	$922.38	$2,936.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,479.77 / $1,981.36 / $3,270.29	Facility		$1,479.77	$1,981.36	$3,270.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,042.00 / $3,706.56 / $5,533.16	Professional		$3,042.00	$3,706.56	$5,533.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,579.70 / $12,579.70 / $12,579.70	Facility		$12,579.70	$12,579.70	$12,579.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,823.85 / $7,352.85 / $11,320.72	Professional		$2,823.85	$7,352.85	$11,320.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,900.24 / $4,900.24 / $4,900.24	Professional		$4,900.24	$4,900.24	$4,900.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,496.01 / $7,546.88 / $9,605.49	Professional		$4,496.01	$7,546.88	$9,605.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,653.01 / $2,857.26 / $6,691.09	Professional		$1,653.01	$2,857.26	$6,691.09